Provider Demographics
NPI:1205692977
Name:CONNECT HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:CONNECT HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGETT
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:OZUZU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-431-8056
Mailing Address - Street 1:11550 BARTRAMS WAY # 312
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-8583
Mailing Address - Country:US
Mailing Address - Phone:704-431-8056
Mailing Address - Fax:
Practice Address - Street 1:227 W 4TH ST # 312
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-1545
Practice Address - Country:US
Practice Address - Phone:704-431-8056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health