Healthcare Provider Details

I. General information

NPI: 1447162961
Provider Name (Legal Business Name): ABOVE AVERAGE HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 GORHAM AVE
HAMDEN CT
06514-3901
US

IV. Provider business mailing address

649 MIX AVE APT B18
HAMDEN CT
06514-2369
US

V. Phone/Fax

Practice location:
  • Phone: 203-571-9766
  • Fax:
Mailing address:
  • Phone: 203-571-9766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. TAWRENCE SMITH
Title or Position: OWNER
Credential: ILST, HOMEMAKER
Phone: 203-571-9766