Provider Demographics
NPI:1215392444
Name:UFIRST HOME CARE
Entity Type:Organization
Organization Name:UFIRST HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-214-0969
Mailing Address - Street 1:311 EASTERN ST
Mailing Address - Street 2:E1101
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-2521
Mailing Address - Country:US
Mailing Address - Phone:203-214-0969
Mailing Address - Fax:
Practice Address - Street 1:311 EASTERN ST
Practice Address - Street 2:E1101
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-2521
Practice Address - Country:US
Practice Address - Phone:203-214-0969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000998251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health