Healthcare Provider Details

I. General information

NPI: 1508787268
Provider Name (Legal Business Name): HIGH REACH HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 HIGH RIDGE DR
BRIDGEPORT CT
06606-4965
US

IV. Provider business mailing address

191 HIGH RIDGE DR
BRIDGEPORT CT
06606-4965
US

V. Phone/Fax

Practice location:
  • Phone: 203-302-8627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: PATIENCE ASHONG
Title or Position: OWNER
Credential: LAC
Phone: 203-302-8627