Healthcare Provider Details

I. General information

NPI: 1306727417
Provider Name (Legal Business Name): TULIP HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 VILLAGE WALK
GUILFORD CT
06437-2762
US

IV. Provider business mailing address

800 VILLAGE WALK
GUILFORD CT
06437-2762
US

V. Phone/Fax

Practice location:
  • Phone: 475-303-7354
  • Fax: 475-303-7355
Mailing address:
  • Phone: 475-303-7354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: SAMIRA FISAYO
Title or Position: DIRECTOR/CONTROL MANAGER
Credential:
Phone: 203-430-7061