Provider Demographics
NPI:1346628435
Name:A & C ELDERLY CARE LLC
Entity Type:Organization
Organization Name:A & C ELDERLY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VERASTEGUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-690-7071
Mailing Address - Street 1:510 BURNSICE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-3504
Mailing Address - Country:US
Mailing Address - Phone:860-830-6070
Mailing Address - Fax:860-290-1828
Practice Address - Street 1:510 BURNSIDE AVENUE
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-3504
Practice Address - Country:US
Practice Address - Phone:860-690-7071
Practice Address - Fax:860-290-1828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000798253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care