Provider Demographics
NPI:1790146546
Name:EVERCARE OF CONNECTICUT HOME HEALTH LLC
Entity Type:Organization
Organization Name:EVERCARE OF CONNECTICUT HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:CNA/PCA
Authorized Official - Phone:860-438-7722
Mailing Address - Street 1:323 W MAIN ST FIRST FLOOR,
Mailing Address - Street 2:STE A
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1331
Mailing Address - Country:US
Mailing Address - Phone:860-438-7722
Mailing Address - Fax:
Practice Address - Street 1:323 W MAIN ST FL 1
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1331
Practice Address - Country:US
Practice Address - Phone:860-438-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health