Provider Demographics
NPI:1578775789
Name:ADULT HOME CARE, LLC
Entity Type:Organization
Organization Name:ADULT HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SINGLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GILLOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-778-3331
Mailing Address - Street 1:3 E HAYESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4918
Mailing Address - Country:US
Mailing Address - Phone:203-778-3331
Mailing Address - Fax:203-778-3331
Practice Address - Street 1:3 E HAYESTOWN RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4918
Practice Address - Country:US
Practice Address - Phone:203-778-3331
Practice Address - Fax:203-778-3331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4241584-000OtherSTATE ID TAX REG #