Provider Demographics
NPI:1437895422
Name:QUINONES, JONATTAN (QUINONES CARE LLC)
Entity Type:Individual
Prefix:
First Name:JONATTAN
Middle Name:
Last Name:QUINONES
Suffix:
Gender:M
Credentials:QUINONES CARE LLC
Other - Prefix:
Other - First Name:QUINONES CARE
Other - Middle Name:
Other - Last Name:LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:210 ARCH ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2519
Mailing Address - Country:US
Mailing Address - Phone:646-764-0093
Mailing Address - Fax:
Practice Address - Street 1:210 ARCH ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2519
Practice Address - Country:US
Practice Address - Phone:646-764-0093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1914374U00000X, 372600000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty