Provider Demographics
NPI:1790804607
Name:FAMILY AND CHILDRENS AGENCY
Entity Type:Organization
Organization Name:FAMILY AND CHILDRENS AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCKY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSSETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-855-8765
Mailing Address - Street 1:9 MOTT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3308
Mailing Address - Country:US
Mailing Address - Phone:203-855-8765
Mailing Address - Fax:203-838-3325
Practice Address - Street 1:137 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5702
Practice Address - Country:US
Practice Address - Phone:203-831-2900
Practice Address - Fax:203-831-2904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty