Provider Demographics
NPI:1235511569
Name:PARISKO INC
Entity Type:Organization
Organization Name:PARISKO INC
Other - Org Name:FIRSTLIGHT HOMECARE OF SHORELINE EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:RISKO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:203-433-5660
Mailing Address - Street 1:388 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2914
Mailing Address - Country:US
Mailing Address - Phone:203-433-5660
Mailing Address - Fax:203-648-4184
Practice Address - Street 1:388 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2914
Practice Address - Country:US
Practice Address - Phone:203-433-5660
Practice Address - Fax:203-648-4184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000995253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care