Provider Demographics
NPI:1649228016
Name:REGIONAL HOSPICE AND HOME CARE OF WESTERN CONNECTICUT, INC.
Entity Type:Organization
Organization Name:REGIONAL HOSPICE AND HOME CARE OF WESTERN CONNECTICUT, INC.
Other - Org Name:REGIONAL HOSPICE OF WESTERN CONNECTICUT, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TONIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHIONE
Authorized Official - Suffix:
Authorized Official - Credentials:LRT(M)BS
Authorized Official - Phone:203-702-7414
Mailing Address - Street 1:30 MILESTONE ROAD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5103
Mailing Address - Country:US
Mailing Address - Phone:203-702-7400
Mailing Address - Fax:203-702-7401
Practice Address - Street 1:30 MILESTONE ROAD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5103
Practice Address - Country:US
Practice Address - Phone:203-702-7400
Practice Address - Fax:203-702-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC861177251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT8424960OtherCIGNA
CTA424276OtherOXFORD
CT269OtherANTHEM BLUE CROSS
CT004081288Medicaid
CT4632970OtherAETNA
CT269OtherANTHEM BLUE CROSS