Provider Demographics
NPI:1073202255
Name:STINVIL HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:STINVIL HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:STINVIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-375-4814
Mailing Address - Street 1:46 BOOTH ST
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4904
Mailing Address - Country:US
Mailing Address - Phone:203-375-4814
Mailing Address - Fax:203-583-3979
Practice Address - Street 1:46 BOOTH ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4904
Practice Address - Country:US
Practice Address - Phone:203-375-4814
Practice Address - Fax:203-583-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care