Provider Demographics
NPI:1902473176
Name:HOUGH, RHODIA (CNA)
Entity Type:Individual
Prefix:
First Name:RHODIA
Middle Name:
Last Name:HOUGH
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:RHODIA
Other - Middle Name:
Other - Last Name:HOUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:60 FOUNTAIN TER
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1822
Mailing Address - Country:US
Mailing Address - Phone:203-435-2737
Mailing Address - Fax:
Practice Address - Street 1:60 FOUNTAIN TER
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1822
Practice Address - Country:US
Practice Address - Phone:203-435-2737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1279606376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT870937874Medicaid
CT870937874OtherNO MEDICAL