Provider Demographics
NPI:1760890867
Name:PANSY HOME CARE SERVICE LLC
Entity Type:Organization
Organization Name:PANSY HOME CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-794-8131
Mailing Address - Street 1:361 PARK ROAD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-1107
Mailing Address - Country:US
Mailing Address - Phone:860-212-6433
Mailing Address - Fax:860-216-5362
Practice Address - Street 1:361 PARK ROAD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-1107
Practice Address - Country:US
Practice Address - Phone:860-212-6433
Practice Address - Fax:860-216-5362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty