Healthcare Provider Details

I. General information

NPI: 1407938665
Provider Name (Legal Business Name): JANE BISANTZ & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 MAIN ST
EAST HAMPTON CT
06424-1143
US

IV. Provider business mailing address

91 MAIN ST
EAST HAMPTON CT
06424-1143
US

V. Phone/Fax

Practice location:
  • Phone: 860-267-6768
  • Fax: 860-267-9560
Mailing address:
  • Phone: 860-267-6768
  • Fax: 860-267-9560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number000636
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JANE BISANTZ
Title or Position: DIRECTOR
Credential:
Phone: 860-267-6768