Provider Demographics
NPI:1437927290
Name:DEDICATED TO ASSIST HOME SERVICES
Entity Type:Organization
Organization Name:DEDICATED TO ASSIST HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YANIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBBLIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-341-6969
Mailing Address - Street 1:68 BURNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2237
Mailing Address - Country:US
Mailing Address - Phone:860-341-6969
Mailing Address - Fax:
Practice Address - Street 1:68 BURNWOOD DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2237
Practice Address - Country:US
Practice Address - Phone:860-341-6969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health