Provider Demographics
NPI:1578606380
Name:PEOPLE'S HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:PEOPLE'S HOME HEALTHCARE INC.
Other - Org Name:PEOPLES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-230-3711
Mailing Address - Street 1:445 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-1320
Mailing Address - Country:US
Mailing Address - Phone:203-230-3711
Mailing Address - Fax:
Practice Address - Street 1:445 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-1320
Practice Address - Country:US
Practice Address - Phone:203-230-3711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BP3500X, 332BX2000X
CT16363336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1636OtherSTATE PHARMACY LICENSE
CT004176401Medicaid
0717287OtherNABP OR NCPDP NUMBER
0717287OtherNABP OR NCPDP NUMBER
CT1636OtherSTATE PHARMACY LICENSE