Provider Demographics
NPI:1538556584
Name:REACHING OUT CARE SERVICES
Entity type:Organization
Organization Name:REACHING OUT CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-518-3065
Mailing Address - Street 1:376 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2309
Mailing Address - Country:US
Mailing Address - Phone:860-518-3065
Mailing Address - Fax:860-356-4979
Practice Address - Street 1:376 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2309
Practice Address - Country:US
Practice Address - Phone:860-518-3065
Practice Address - Fax:860-356-4979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251E00000251E00000X
CT251F00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health