Provider Demographics
NPI:1659027282
Name:NIGHTINGALE HOME HEALTHCARE OF CONNECTICUT INC
Entity Type:Organization
Organization Name:NIGHTINGALE HOME HEALTHCARE OF CONNECTICUT INC
Other - Org Name:NIGHTINGALE VISITING NURSES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEV
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-334-7777
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46082-1710
Mailing Address - Country:US
Mailing Address - Phone:866-334-7777
Mailing Address - Fax:866-878-0094
Practice Address - Street 1:9 W BROAD ST STE 610
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3762
Practice Address - Country:US
Practice Address - Phone:866-334-7777
Practice Address - Fax:866-878-0094
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME CARE PROVIDERS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health