Healthcare Provider Details

I. General information

NPI: 1588977540
Provider Name (Legal Business Name): RIGHT AT HOME IN HOMECARE & ASSISTANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 JORDAN LN 3RD FLOOR
WETHERSFIELD CT
06109-1278
US

IV. Provider business mailing address

30 JORDAN LN 3RD FLOOR
WETHERSFIELD CT
06109-1278
US

V. Phone/Fax

Practice location:
  • Phone: 860-436-9757
  • Fax: 860-436-9679
Mailing address:
  • Phone: 860-436-9757
  • Fax: 860-436-9679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCA.0000139
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierHCA.0000139
Identifier TypeOTHER
Identifier StateCT
Identifier IssuerHOMECARE AGENCY

VIII. Authorized Official

Name: MR. ROBERT M SCANDURA
Title or Position: VICE PRESIDENT
Credential:
Phone: 860-436-9757