Provider Demographics
NPI:1093225716
Name:NAANA HOME CARE SERVICE
Entity Type:Organization
Organization Name:NAANA HOME CARE SERVICE
Other - Org Name:HIGHROADS CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NANA AMMA
Authorized Official - Middle Name:POKUAA
Authorized Official - Last Name:ANANE FREMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-919-1198
Mailing Address - Street 1:17 MAPLE AVE S
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5641
Mailing Address - Country:US
Mailing Address - Phone:203-919-1198
Mailing Address - Fax:917-475-8354
Practice Address - Street 1:17 MAPLE AVE S
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5641
Practice Address - Country:US
Practice Address - Phone:203-919-1198
Practice Address - Fax:917-475-8354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-08
Last Update Date:2017-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0001078253Z00000X
385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care