Provider Demographics
NPI:1851513758
Name:PATARA CORP
Entity Type:Organization
Organization Name:PATARA CORP
Other - Org Name:VISITING ANGELS LAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WERLAU
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:203-740-0230
Mailing Address - Street 1:499 FEDERAL ROAD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2042
Mailing Address - Country:US
Mailing Address - Phone:203-740-0230
Mailing Address - Fax:203-740-1113
Practice Address - Street 1:499 FEDERAL ROAD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2042
Practice Address - Country:US
Practice Address - Phone:203-740-0230
Practice Address - Fax:203-740-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000113372600000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
Not Answered376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty