MEDICARE: UCONN HEALTH COMMUNITY NETWORK HOME HEALTH, 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750230728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UCONN HEALTH COMMUNITY NETWORK HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	263 FARMINGTON AVE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-1920
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 MAIN ST STE 3A
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-2249
Country	:	US
Telephone Number	:	860-274-7531
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JEFFREY GEOGHEGAN
Credential	:
Telephone Number	:	860-679-3162

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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