Provider Demographics
NPI:1376943340
Name:SENIOR QUALITY HOMECARE CORP
Entity Type:Organization
Organization Name:SENIOR QUALITY HOMECARE CORP
Other - Org Name:SYNERGY HOME CARE OF DANBURY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEOO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELISLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:203-731-2560
Mailing Address - Street 1:36 MILL PLAIN RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-5181
Mailing Address - Country:US
Mailing Address - Phone:203-731-2544
Mailing Address - Fax:
Practice Address - Street 1:36 MILL PLAIN RD
Practice Address - Street 2:SUITE 206
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-5181
Practice Address - Country:US
Practice Address - Phone:203-731-2544
Practice Address - Fax:203-731-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000423251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health