Healthcare Provider Details

I. General information

NPI: 1346461639
Provider Name (Legal Business Name): M.R. HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

472 STAFFORD AVE
BRISTOL CT
06010-4620
US

IV. Provider business mailing address

PO BOX 2758
BRISTOL CT
06011-2758
US

V. Phone/Fax

Practice location:
  • Phone: 860-583-1541
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateCT

VIII. Authorized Official

Name: SCOTT W. ROSADO
Title or Position: PRESIDENT
Credential:
Phone: 860-583-1541