Provider Demographics
NPI:1407554264
Name:SPRING GARDEN AGENCY & HOME CARE, LLC
Entity Type:Organization
Organization Name:SPRING GARDEN AGENCY & HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HORTENSE
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-461-1791
Mailing Address - Street 1:541 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06112-2302
Mailing Address - Country:US
Mailing Address - Phone:860-461-1791
Mailing Address - Fax:860-461-1865
Practice Address - Street 1:541 ALBANY AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06112-2302
Practice Address - Country:US
Practice Address - Phone:860-461-1791
Practice Address - Fax:860-461-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care