Provider Demographics
NPI:1568128874
Name:TRK CONSULTING SERVICES INC
Entity Type:Organization
Organization Name:TRK CONSULTING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:SATESH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDDHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-499-0720
Mailing Address - Street 1:257 MIDDLETOWN AVE
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-3802
Mailing Address - Country:US
Mailing Address - Phone:860-499-0720
Mailing Address - Fax:
Practice Address - Street 1:66 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5159
Practice Address - Country:US
Practice Address - Phone:239-888-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Multi-Specialty