Provider Demographics
NPI:1598172934
Name:HUMMINGBIRD LIGHT LLC.
Entity Type:Organization
Organization Name:HUMMINGBIRD LIGHT LLC.
Other - Org Name:USA APPROVED HOME CARE & COMPANIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:860-888-7831
Mailing Address - Street 1:32 FREEMAN ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-2719
Mailing Address - Country:US
Mailing Address - Phone:860-888-7631
Mailing Address - Fax:
Practice Address - Street 1:32 FREEMAN ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-2719
Practice Address - Country:US
Practice Address - Phone:860-888-7631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000910253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care