Healthcare Provider Details

I. General information

NPI: 1619485166
Provider Name (Legal Business Name): HLC PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 01/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 MARME ST
HAMDEN CT
06514
US

IV. Provider business mailing address

20 PIPER ROAD
HAMDEN CT
06514
US

V. Phone/Fax

Practice location:
  • Phone: 203-891-7064
  • Fax: 203-691-6523
Mailing address:
  • Phone: 203-891-7064
  • Fax: 203-691-6523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. TARA LYNN MILLER
Title or Position: CO-OWNER
Credential: LPN
Phone: 203-804-2949