Healthcare Provider Details
I. General information
NPI: 1598256810
Provider Name (Legal Business Name): ALL CONNECTICUT HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2018
Last Update Date: 09/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1845 SILAS DEANE HWY
ROCKY HILL CT
06067-1347
US
IV. Provider business mailing address
58 EDGEMONT AVE
WEST HARTFORD CT
06110-1121
US
V. Phone/Fax
- Phone: 860-920-4255
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TITIK
GUERRIER
Title or Position: CEO
Credential:
Phone: 860-924-4255