Healthcare Provider Details

I. General information

NPI: 1992663843
Provider Name (Legal Business Name): CONNECTCARE AND WELLNESS LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 03/29/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 UNION CITY RD
PROSPECT CT
06712-1589
US

IV. Provider business mailing address

33 UNION CITY RD
PROSPECT CT
06712-1589
US

V. Phone/Fax

Practice location:
  • Phone: 860-938-6060
  • Fax: 860-237-4420
Mailing address:
  • Phone: 860-938-6060
  • Fax: 860-237-4420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARY SANDERS
Title or Position: OWNER
Credential: APRN
Phone: 860-938-6060