=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326550666
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME HEALTH PROFESSIONALS NETWORK
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/26/2017
-----------------------------------------------------
Last Update Date | 03/16/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2529 WHITNEY AVE
-----------------------------------------------------
City | HAMDEN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06518-3021
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-543-9679
-----------------------------------------------------
Fax | 203-533-4693
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2571 WHITNEY AVE
-----------------------------------------------------
City | HAMDEN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06518-3021
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-745-2545
-----------------------------------------------------
Fax | 203-533-4693
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | RITA OHENE-ADJEI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 203-543-9679
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------