Healthcare Provider Details

I. General information

NPI: 1215392444
Provider Name (Legal Business Name): UFIRST HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 EASTERN ST E1101
NEW HAVEN CT
06513-2521
US

IV. Provider business mailing address

311 EASTERN ST E1101
NEW HAVEN CT
06513-2521
US

V. Phone/Fax

Practice location:
  • Phone: 203-214-0969
  • Fax:
Mailing address:
  • Phone: 203-214-0969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0000998
License Number StateCT

VIII. Authorized Official

Name: MRS. CONNIE WHITE
Title or Position: OWNER
Credential:
Phone: 203-214-0969