Provider Demographics
NPI:1285007575
Name:ELEONORA'S HOMEMAKER COMPANION LLC
Entity Type:Organization
Organization Name:ELEONORA'S HOMEMAKER COMPANION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELEONORA
Authorized Official - Middle Name:
Authorized Official - Last Name:TATASHADZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-515-6467
Mailing Address - Street 1:175 CAPITAL BLVD FL SUITE402
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3914
Mailing Address - Country:US
Mailing Address - Phone:860-515-6467
Mailing Address - Fax:
Practice Address - Street 1:175 CAPITAL BLVD FL SUITE402
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3914
Practice Address - Country:US
Practice Address - Phone:860-515-6467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000493251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health