Healthcare Provider Details

I. General information

NPI: 1073436705
Provider Name (Legal Business Name): JUST LIKE HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 LONG HILL AVE
SHELTON CT
06484-5408
US

IV. Provider business mailing address

22 REGENT CT
STAMFORD CT
06907-1423
US

V. Phone/Fax

Practice location:
  • Phone: 203-689-7562
  • Fax: 213-566-8931
Mailing address:
  • Phone: 203-689-7562
  • Fax: 213-566-8931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: DEIRDRE JP VIRVO
Title or Position: MANAGING MEMBER
Credential:
Phone: 203-570-4839