Healthcare Provider Details

I. General information

NPI: 1750384939
Provider Name (Legal Business Name): VNA HEALTH AT HOME, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 SIEMON COMPANY DR STE 101
WATERTOWN CT
06795-2654
US

IV. Provider business mailing address

27 SIEMON COMPANY DR STE 101
WATERTOWN CT
06795-2654
US

V. Phone/Fax

Practice location:
  • Phone: 860-274-7531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberC805710
License Number StateCT

VIII. Authorized Official

Name: MRS. ANNMARIE GARRISON
Title or Position: EXECUTIVE DIRECTOR/ADMINISTRATOR
Credential:
Phone: 860-274-7531