Provider Demographics
NPI:1689111726
Name:VILLA HOMEMAKER & COMPANIONS LLC
Entity Type:Organization
Organization Name:VILLA HOMEMAKER & COMPANIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-465-3793
Mailing Address - Street 1:1088 EAST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06705
Mailing Address - Country:US
Mailing Address - Phone:203-465-3793
Mailing Address - Fax:
Practice Address - Street 1:1088 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-1039
Practice Address - Country:US
Practice Address - Phone:203-465-3793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0001098251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health