Healthcare Provider Details

I. General information

NPI: 1265644462
Provider Name (Legal Business Name): CONNECTICUT IN HOME ASSISTANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 WHITE PLAINS RD
TRUMBULL CT
06611
US

IV. Provider business mailing address

925 WHITE PLAINS RD
TRUMBULL CT
06611
US

V. Phone/Fax

Practice location:
  • Phone: 203-452-9629
  • Fax: 203-445-9076
Mailing address:
  • Phone: 203-452-9629
  • Fax: 203-445-9076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberHCA.0000137
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberHCA.0000137
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberHCA0000137
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHCA.0000137
License Number StateCT

VIII. Authorized Official

Name: MR. JAMIESON F WIELAND
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 203-452-9629