Healthcare Provider Details

I. General information

NPI: 1790804607
Provider Name (Legal Business Name): FAMILY AND CHILDRENS AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 EAST AVE
NORWALK CT
06851-5702
US

IV. Provider business mailing address

9 MOTT AVE
NORWALK CT
06850-3308
US

V. Phone/Fax

Practice location:
  • Phone: 203-831-2900
  • Fax: 203-831-2904
Mailing address:
  • Phone: 203-855-8765
  • Fax: 203-838-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. ROCKY J ROSSETTI
Title or Position: VP FINANCE
Credential:
Phone: 203-855-8765