Provider Demographics
NPI:1760258354
Name:PERFECT HOME CARE LLC
Entity Type:Organization
Organization Name:PERFECT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAVACHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-545-6715
Mailing Address - Street 1:197 BURNSFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-3443
Mailing Address - Country:US
Mailing Address - Phone:203-545-6715
Mailing Address - Fax:
Practice Address - Street 1:197 BURNSFORD AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-3443
Practice Address - Country:US
Practice Address - Phone:203-545-6715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty