Provider Demographics
NPI:1497934947
Name:URBAN NURSING & COMMUNITY CARE, LLC
Entity Type:Organization
Organization Name:URBAN NURSING & COMMUNITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSLYN
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:HAWKINS-PARKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:860-246-1112
Mailing Address - Street 1:1229 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06112-2132
Mailing Address - Country:US
Mailing Address - Phone:860-246-1112
Mailing Address - Fax:860-246-1116
Practice Address - Street 1:1229 ALBANY AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06112-2132
Practice Address - Country:US
Practice Address - Phone:860-246-1112
Practice Address - Fax:860-246-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT07-7243Medicare PIN