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MERCY HOME CARE OF CONNECTICUT INC. NPI 1184873424


NPI Information

NPI: 1184873424
Provider Name: MERCY HOME CARE OF CONNECTICUT, INC.

Doing Business As: MERCY CARES BOUTIQUE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2 LIBRARY PL
UNIT B
BETHEL, CT
ZIP 06801
Phone: (203) 796-0143
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MERCY HOME CARE OF CONNECTICUT, INC. is a prosthetic orthotic supplier in Bethel, CT. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MERCY HOME CARE OF CONNECTICUT, INC. NPI is 1184873424. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Cares Boutique.

The provider's business location address is:

2 LIBRARY PL
UNIT B
BETHEL, CT
ZIP 06801-106
Phone: (203) 796-0143
Fax: (203) 796-0163

The provider's authorized official is Harold J Fredheim .
The authorized official title is President & Ceo and has the following contact phone number (203) 852-0773.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 9/11/2008.


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
1335E00000XProsthetic/Orthotic SupplierCONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004180593OTHERCONNECTICUTWELLCARE
2=========OTHERCONNECTICUTUNITED HEALTH CARE
3004180593MEDICAIDCONNECTICUT
412DME0964CT02OTHERCONNECTICUTANTHEM BC/BS
51201930001MEDICARE NSCCONNECTICUT
6A893738OTHERCONNECTICUTOXFORD HEALTH PLANS

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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