Healthcare Provider Details

I. General information

NPI: 1720080690
Provider Name (Legal Business Name): VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 DANBURY ROAD
WILTON CT
06897
US

IV. Provider business mailing address

PO BOX 489
WILTON CT
06897
US

V. Phone/Fax

Practice location:
  • Phone: 203-762-8958
  • Fax: 203-761-8889
Mailing address:
  • Phone: 203-762-8958
  • Fax: 203-761-8889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberC81891
License Number StateCT

VIII. Authorized Official

Name: SHARON BRADLEY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 203-762-8958