Healthcare Provider Details

I. General information

NPI: 1811998495
Provider Name (Legal Business Name): TOWN OF WESTBROOK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

866 BOSTON POST RD
WESTBROOK CT
06498-1881
US

IV. Provider business mailing address

866 BOSTON POST RD
WESTBROOK CT
06498-1881
US

V. Phone/Fax

Practice location:
  • Phone: 860-399-3088
  • Fax: 860-399-3096
Mailing address:
  • Phone: 860-399-3088
  • Fax: 860-399-3096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberC81851
License Number StateCT

VIII. Authorized Official

Name: MRS. CAROLINE M LUKETICH
Title or Position: ADMINISTRATOR
Credential: RN, BSN
Phone: 860-399-3088