Healthcare Provider Details

I. General information

NPI: 1053233486
Provider Name (Legal Business Name): AWP HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 BOSTON POST RD STE 204B
ORANGE CT
06477-3235
US

IV. Provider business mailing address

109 BOSTON POST RD STE 204B
ORANGE CT
06477-3235
US

V. Phone/Fax

Practice location:
  • Phone: 203-659-0402
  • Fax: 203-659-0402
Mailing address:
  • Phone: 203-659-0402
  • Fax: 203-659-0402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JACK T YEUNG
Title or Position: CEO
Credential:
Phone: 646-573-6168