Provider Demographics
NPI:1972198687
Name:E AND P HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:E AND P HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:NELL
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-397-5255
Mailing Address - Street 1:24 VICTORY DR
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1250
Mailing Address - Country:US
Mailing Address - Phone:203-397-5255
Mailing Address - Fax:203-691-7496
Practice Address - Street 1:24 VICTORY DR
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1250
Practice Address - Country:US
Practice Address - Phone:203-397-5255
Practice Address - Fax:203-691-7496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health