Healthcare Provider Details

I. General information

NPI: 1427200732
Provider Name (Legal Business Name): TOTALCARE HNS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 07/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 WHITNEY AVE
NEW HAVEN CT
06510-1232
US

IV. Provider business mailing address

188 BARTLETT DR
MADISON CT
06443-8200
US

V. Phone/Fax

Practice location:
  • Phone: 203-777-4900
  • Fax:
Mailing address:
  • Phone: 230-530-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: RAY PANTALENA
Title or Position: COO
Credential:
Phone: 203-530-8885