Healthcare Provider Details

I. General information

NPI: 1396957965
Provider Name (Legal Business Name): CLASSIC HOMEMAKERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 STETSON RD
BROOKLYN CT
06234
US

IV. Provider business mailing address

PO BOX 552
BROOKLYN CT
06234-0552
US

V. Phone/Fax

Practice location:
  • Phone: 860-779-1532
  • Fax: 860-779-1770
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARY CONGDON
Title or Position: OWNER
Credential:
Phone: 860-779-1532