Healthcare Provider Details

I. General information

NPI: 1780263350
Provider Name (Legal Business Name): CURA HOME CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1867 SUMMER ST
STAMFORD CT
06905-5016
US

IV. Provider business mailing address

1867 SUMMER ST
STAMFORD CT
06905-5016
US

V. Phone/Fax

Practice location:
  • Phone: 203-539-1249
  • Fax:
Mailing address:
  • Phone: 203-539-1249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. SHIVONNE MATHISON
Title or Position: OWNER
Credential: LMSW
Phone: 203-539-1249