Healthcare Provider Details

I. General information

NPI: 1003792110
Provider Name (Legal Business Name): LAZARUS HOME CARE & NATURAL WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 BEDFORD ST STE 201
STAMFORD CT
06901-1907
US

IV. Provider business mailing address

135 BEDFORD ST STE 201
STAMFORD CT
06901-1907
US

V. Phone/Fax

Practice location:
  • Phone: 475-276-9990
  • Fax: 475-685-3294
Mailing address:
  • Phone: 475-276-9990
  • Fax: 475-685-3294

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: NOLANDER LAZARUS
Title or Position: OWNER
Credential:
Phone: 475-276-9990