Healthcare Provider Details
I. General information
NPI: 1982907945
Provider Name (Legal Business Name): BELCARE STAFFING SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/14/2010
Last Update Date: 12/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 SHERMAN AVE
NEW HAVEN CT
06511-3107
US
IV. Provider business mailing address
401 SHERMAN AVE
NEW HAVEN CT
06511-3107
US
V. Phone/Fax
- Phone: 203-901-3491
- Fax: 203-549-0760
- Phone: 203-901-3491
- Fax: 203-549-0760
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | HCA0000142 |
| License Number State | CT |
VIII. Authorized Official
Name:
JOYCE
A
BELLAMY
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 203-901-3491