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NPI Code Detail

MEDICARE: HARTFORD HEALTHCARE AT HOME, INC

MEDICARE: HARTFORD HEALTHCARE AT HOME, INC
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
1251G00000XCommunity Based Hospice Care AgencyC81721CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1253OTHERCTANTHEM BCBS
2790049OTHERCTCONNECTICARE
3A471833OTHERCTOXFORD

General Provider Information

NPI Number : 1548283674
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARTFORD HEALTHCARE AT HOME, INC
Provider Business Mailing Address
First Line : 1290 SILAS DEANE HWY
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number : 860-249-4862
Fax Number : 860-493-5988
Provider Business Practice Location Address
First Line : 1290 SILAS DEANE HWY
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number : 860-249-4862
Fax Number : 860-493-5988
Authorized Official
Title or Position : VP
Name : LAURA ST. JOHN
Credential :
Telephone Number : 860-878-4848
Provider Enumeration Date : 07/26/2006
Last Update Date : 06/23/2021

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Directions to “HARTFORD HEALTHCARE AT HOME, INC ” Practice Location

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