Healthcare Provider Details

I. General information

NPI: 1780525261
Provider Name (Legal Business Name): MATRIARCH HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 WOOD AVE
BRIDGEPORT CT
06604-1424
US

IV. Provider business mailing address

1500 WOOD AVE
BRIDGEPORT CT
06604-1424
US

V. Phone/Fax

Practice location:
  • Phone: 860-382-9449
  • Fax:
Mailing address:
  • Phone: 860-382-9449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHANTAL HAYE
Title or Position: OWNER
Credential: HAYE
Phone: 860-382-9449