Provider Demographics
NPI:1689164006
Name:DEEPER VIEW HOMEMAKERS AND COMPANION SERVICES
Entity Type:Organization
Organization Name:DEEPER VIEW HOMEMAKERS AND COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AHIATI
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, RN
Authorized Official - Phone:860-510-3959
Mailing Address - Street 1:245 COLONIAL AVE APT 14A
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-1300
Mailing Address - Country:US
Mailing Address - Phone:860-510-3959
Mailing Address - Fax:
Practice Address - Street 1:245 COLONIAL AVE APT 14A
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-1300
Practice Address - Country:US
Practice Address - Phone:860-510-3959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0001421251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health