Healthcare Provider Details

I. General information

NPI: 1801017801
Provider Name (Legal Business Name): HEBREW COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 06/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ABRAHMS BLVD
WEST HARTFORD CT
06117-1508
US

IV. Provider business mailing address

1 ABRAHMS BLVD
WEST HARTFORD CT
06117-1508
US

V. Phone/Fax

Practice location:
  • Phone: 860-523-3800
  • Fax: 860-523-3949
Mailing address:
  • Phone: 860-523-3800
  • Fax: 860-523-3949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID A HOULE
Title or Position: EXECUTIVE VICE PRESIDENT & CFO
Credential:
Phone: 860-523-3895