Provider Demographics
NPI:1548096944
Name:FAIRFIELD FAMILY HOMECARE INC.
Entity type:Organization
Organization Name:FAIRFIELD FAMILY HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GATELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-853-0370
Mailing Address - Street 1:149 WATER ST STE 402
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-3781
Mailing Address - Country:US
Mailing Address - Phone:203-853-0370
Mailing Address - Fax:203-853-0380
Practice Address - Street 1:149 WATER ST STE 402
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-3781
Practice Address - Country:US
Practice Address - Phone:203-853-0370
Practice Address - Fax:203-853-0380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care