Healthcare Provider Details

I. General information

NPI: 1972806990
Provider Name (Legal Business Name): HIGH QUALITY HOME THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2010
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 BUXTON FARM RD STE 230
STAMFORD CT
06905-1206
US

IV. Provider business mailing address

30 BUXTON FARM RD STE 230
STAMFORD CT
06905-1206
US

V. Phone/Fax

Practice location:
  • Phone: 203-212-4191
  • Fax: 203-212-4191
Mailing address:
  • Phone: 203-212-4191
  • Fax: 203-212-4191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 10
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number005578
License Number StateCT

VIII. Authorized Official

Name: CARYN B MCALLISTER
Title or Position: PRESIDENT/CEO
Credential: PT
Phone: 203-212-4191