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CONNECTICUT IN HOME ASSISTANCE LLC NPI 1265644462


NPI Information

NPI: 1265644462
Provider Name: CONNECTICUT IN HOME ASSISTANCE LLC
Classification: Respite Care - 385H00000X
Entity Type: Organization

CLIA Number: 07D2219329

Address:
925 WHITE PLAINS RD
TRUMBULL, CT
ZIP 06611
Phone: (203) 452-9629
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CONNECTICUT IN HOME ASSISTANCE LLC is a respite care in Trumbull, CT. CONNECTICUT IN HOME ASSISTANCE LLC NPI is 1265644462. The provider is registered as an organization entity type.

The provider's business location address is:

925 WHITE PLAINS RD
TRUMBULL, CT
ZIP 06611
Phone: (203) 452-9629
Fax: (203) 445-9076

The provider's authorized official is Jamieson F Wieland .
The authorized official title is Operations Manager and has the following contact phone number (203) 452-9629.

The CLIA number assigned to this NPI record is 07D2219329 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385H00000XRespite CareHCA.0000137CONNECTICUTYes
2372600000XAdult CompanionHCA.0000137CONNECTICUTX
3376J00000XHomemakerHCA0000137CONNECTICUTX
4372500000XChore ProviderHCA.0000137CONNECTICUTX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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