Healthcare Provider Details

I. General information

NPI: 1073465746
Provider Name (Legal Business Name): ANDREA'S HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 WESTBOURNE PKWY APT 3
HARTFORD CT
06112-1731
US

IV. Provider business mailing address

52 WESTBOURNE PKWY APT 3
HARTFORD CT
06112-1731
US

V. Phone/Fax

Practice location:
  • Phone: 860-993-8711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ANDREA DOUGLAS
Title or Position: CEO/OWNER
Credential:
Phone: 316-518-9922