Healthcare Provider Details

I. General information

NPI: 1497934947
Provider Name (Legal Business Name): URBAN NURSING & COMMUNITY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 ALBANY AVE
HARTFORD CT
06112-2132
US

IV. Provider business mailing address

1229 ALBANY AVE
HARTFORD CT
06112-2132
US

V. Phone/Fax

Practice location:
  • Phone: 860-246-1112
  • Fax: 860-246-1116
Mailing address:
  • Phone: 860-246-1112
  • Fax: 860-246-1116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCT

VIII. Authorized Official

Name: MS. ROSLYN RUTH HAWKINS-PARKINSON
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 860-246-1112