Healthcare Provider Details

I. General information

NPI: 1477705374
Provider Name (Legal Business Name): PATRICIA NEWTON-FOSTER NEWTON-FOSTER HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 01/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 ARCH ST
NEW HAVEN CT
06519-1511
US

IV. Provider business mailing address

92 ARCH STREET
NEW HAVEN CT
06519-1511
US

V. Phone/Fax

Practice location:
  • Phone: 203-773-5097
  • Fax:
Mailing address:
  • Phone: 203-773-5097
  • Fax: 203-789-8898

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 Code374U00000X
TaxonomyHome Health Aide
License Number0038
License Number StateCT

VIII. Authorized Official

Name: MR. DAVON EUGENE NEWTON SR.
Title or Position: VICE PRESIDENT
Credential:
Phone: 203-773-5097