Provider Demographics
NPI:1710278940
Name:NTW HEALTH CARE AT HOME LLC
Entity Type:Organization
Organization Name:NTW HEALTH CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NORATER
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-591-1977
Mailing Address - Street 1:44 BARDEN ST
Mailing Address - Street 2:ATP A
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06706-2217
Mailing Address - Country:US
Mailing Address - Phone:203-591-1977
Mailing Address - Fax:203-591-1977
Practice Address - Street 1:44 BARDEN ST
Practice Address - Street 2:ATP A
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06706-2217
Practice Address - Country:US
Practice Address - Phone:203-591-1977
Practice Address - Fax:203-591-1977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000479251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health