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General NPI Number Information
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NPI Number | 1104204965
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Entity Type | Organization
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Legal Business Name | EMEREST HOME CARE OF CONNECTICUT LLC
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 454 WOLCOTT ST
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City | WATERBURY
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State | CT
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Zip | 06705-1239
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Country | US
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Telephone | 203-941-1700
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Fax | 203-941-1701
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Provider Business Mailing Address
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Address Line | 6323 14TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11219-5311
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Country | US
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Telephone | 718-534-7600
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ISAAC SCHWARTZ
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Credential |
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Telephone | 203-941-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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