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NPI Code Detail

MEDICARE: CARE FOR YOU @ HOME, LLC

MEDICARE: CARE FOR YOU @ HOME, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1023575917
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE FOR YOU @ HOME, LLC
Provider Business Mailing Address
First Line : PO BOX 818
Second Line :
City : ENFIELD
State : CT
Zip : 06083-0818
Country : US
Telephone Number : 877-466-7898
Fax Number :
Provider Business Practice Location Address
First Line : 900 RIVER ST
Second Line :
City : WINDSOR
State : CT
Zip : 06095-1368
Country : US
Telephone Number : 877-466-7898
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. JOHN NIERODA
Credential :
Telephone Number : 877-466-7898
Provider Enumeration Date : 02/27/2019
Last Update Date : 02/27/2019

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Directions to “CARE FOR YOU @ HOME, LLC ” Practice Location

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