Healthcare Provider Details

I. General information

NPI: 1568382299
Provider Name (Legal Business Name): FAFA WELLNESS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 CHURCH STREET NEW HAVEN 157 CHURCH STREET NEW HAVEN
NEW HAVEN CT
20385-0318
US

IV. Provider business mailing address

150 DAVENPORT AVE 150 DAVENPORT AVE NEW HAVEN
NEW HAVEN CT
06519-1327
US

V. Phone/Fax

Practice location:
  • Phone: 203-516-0268
  • Fax:
Mailing address:
  • Phone: 203-516-0268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. FARIDA AROUNA JR.
Title or Position: EXECUTIVE DIRECTOR
Credential: MASTER DEGREE
Phone: 203-516-0268