Healthcare Provider Details

I. General information

NPI: 1427988294
Provider Name (Legal Business Name): ANA MEDINA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 COALPIT HILL RD UNIT 9
DANBURY CT
06810-8016
US

IV. Provider business mailing address

124 COALPIT HILL RD UNIT 9
DANBURY CT
06810-8016
US

V. Phone/Fax

Practice location:
  • Phone: 203-297-0555
  • Fax:
Mailing address:
  • Phone: 203-297-0555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: