Provider Demographics
NPI:1174027213
Name:C & M HEALTH SERVICES BRANFORD LLC
Entity Type:Organization
Organization Name:C & M HEALTH SERVICES BRANFORD LLC
Other - Org Name:COMPASSIONATE CARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MISKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-983-6030
Mailing Address - Street 1:625 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405
Mailing Address - Country:US
Mailing Address - Phone:203-439-7731
Mailing Address - Fax:203-250-7788
Practice Address - Street 1:625 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405
Practice Address - Country:US
Practice Address - Phone:203-439-7731
Practice Address - Fax:203-250-7788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health