Provider Demographics
NPI:1033459870
Name:RYANJASON INC.
Entity Type:Organization
Organization Name:RYANJASON INC.
Other - Org Name:RIGHT AT HOME OF GREATER FAIRFIELD COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:RANDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-261-5777
Mailing Address - Street 1:518 MONROE TPKE
Mailing Address - Street 2:#2
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2358
Mailing Address - Country:US
Mailing Address - Phone:203-261-5777
Mailing Address - Fax:203-261-5770
Practice Address - Street 1:518 MONROE TPKE
Practice Address - Street 2:#2
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2358
Practice Address - Country:US
Practice Address - Phone:203-261-5777
Practice Address - Fax:203-261-5770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000684251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health