Provider Demographics
NPI:1336488956
Name:THERE FOR YOU HOME CARE SERVICES
Entity Type:Organization
Organization Name:THERE FOR YOU HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY CARE NURSE
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:203-756-2049
Mailing Address - Street 1:534 FROST RD
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06705-2304
Mailing Address - Country:US
Mailing Address - Phone:203-756-2049
Mailing Address - Fax:203-756-2055
Practice Address - Street 1:534 FROST RD
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-2304
Practice Address - Country:US
Practice Address - Phone:203-756-2049
Practice Address - Fax:203-756-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME077260Medicare Oscar/Certification