Provider Demographics
NPI:1538734447
Name:CONNCETICUT CARE LLC
Entity type:Organization
Organization Name:CONNCETICUT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-571-7329
Mailing Address - Street 1:264 MAIN ST STE 224
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-5204
Mailing Address - Country:US
Mailing Address - Phone:860-400-2224
Mailing Address - Fax:
Practice Address - Street 1:839 MAIN ST APT 59
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-3361
Practice Address - Country:US
Practice Address - Phone:860-400-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health