Provider Demographics
NPI:1306198197
Name:TOTALITY HOME HEALTH CARE AGENCY, LLC
Entity Type:Organization
Organization Name:TOTALITY HOME HEALTH CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:DERISSE - YOUYOU
Authorized Official - Suffix:
Authorized Official - Credentials:RN, AS
Authorized Official - Phone:203-893-3560
Mailing Address - Street 1:546 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2636
Mailing Address - Country:US
Mailing Address - Phone:203-893-3560
Mailing Address - Fax:203-693-3999
Practice Address - Street 1:546 BOSTON POST ROAD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460
Practice Address - Country:US
Practice Address - Phone:203-893-3560
Practice Address - Fax:203-693-3999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health