Healthcare Provider Details

I. General information

NPI: 1518325893
Provider Name (Legal Business Name): ALL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 MINER ST
MIDDLETOWN CT
06457-1704
US

IV. Provider business mailing address

PO BOX 661
MOODUS CT
06469-0661
US

V. Phone/Fax

Practice location:
  • Phone: 860-873-6500
  • Fax:
Mailing address:
  • Phone: 860-873-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateCT

VIII. Authorized Official

Name: BRENDA MARINAN
Title or Position: MEMBER
Credential: BA, NHA
Phone: 860-873-6500