MEDICARE: PATRICIA NEWTON-FOSTER NEWTON-FOSTER HOME CARE AGENCY 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
1	374U00000X	Home Health Aide	0038	CT
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	004218071	OTHER	CT	AGENCY ON AGING OF SOUTH CENTRAL CONNECTICUT
2	HCA.0000560	OTHER	CT	CONSUMER PROTECTIION
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477705374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICIA NEWTON-FOSTER NEWTON-FOSTER HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	92 ARCH STREET
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06519-1511
Country	:	US
Telephone Number	:	203-773-5097
Fax Number	:	203-789-8898

Provider Business Practice Location Address
First Line	:	92 ARCH ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06519-1511
Country	:	US
Telephone Number	:	203-773-5097
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. DAVON EUGENE NEWTON SR.
Credential	:
Telephone Number	:	203-773-5097

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	01/23/2013

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