MEDICARE: ELENA KIRYANOVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1295688752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA KIRYANOVA

Provider Business Mailing Address
First Line	:	33 SURREY DR APT B3
Second Line	:
City	:	NEWINGTON
State	:	CT
Zip	:	06111-1116
Country	:	US
Telephone Number	:	860-232-8192
Fax Number	:	860-216-5285

Provider Business Practice Location Address
First Line	:	998 FARMINGTON AVE STE 216
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-2197
Country	:	US
Telephone Number	:	860-232-8192
Fax Number	:	860-216-5285

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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