Healthcare Provider Details

I. General information

NPI: 1578952016
Provider Name (Legal Business Name): VISITING NURSE & HEALTH SERVICES OF CONNECTICUT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 KEYNOTE DR
VERNON CT
06066-5040
US

IV. Provider business mailing address

8 KEYNOTE DR
VERNON CT
06066-5040
US

V. Phone/Fax

Practice location:
  • Phone: 860-872-9163
  • Fax:
Mailing address:
  • Phone: 860-872-9163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberC81791
License Number StateCT

VIII. Authorized Official

Name: MR. TODD ROSE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 860-872-9163