Provider Demographics
NPI:1275764219
Name:EQUINOX HOME CARE VISITING NURSE AGENCY, INC
Entity Type:Organization
Organization Name:EQUINOX HOME CARE VISITING NURSE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOREMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-377-5591
Mailing Address - Street 1:305 BOSTON AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-5246
Mailing Address - Country:US
Mailing Address - Phone:203-377-5591
Mailing Address - Fax:203-377-5561
Practice Address - Street 1:305 BOSTON AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-5246
Practice Address - Country:US
Practice Address - Phone:203-377-5591
Practice Address - Fax:203-377-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health