Provider Demographics
NPI:1518549146
Name:AVANTGARDE CARING HEARTS AND HANDS LLC
Entity Type:Organization
Organization Name:AVANTGARDE CARING HEARTS AND HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SAUNDRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:860-752-2266
Mailing Address - Street 1:5 EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3211
Mailing Address - Country:US
Mailing Address - Phone:860-752-2266
Mailing Address - Fax:
Practice Address - Street 1:880 ASYLUM AVE STE 201
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1902
Practice Address - Country:US
Practice Address - Phone:860-752-2266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care