Provider Demographics
NPI:1013514744
Name:THE HOMEAIDES
Entity Type:Organization
Organization Name:THE HOMEAIDES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DYLEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-920-5800
Mailing Address - Street 1:517 CENTERPOINT DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-7570
Mailing Address - Country:US
Mailing Address - Phone:860-920-5800
Mailing Address - Fax:
Practice Address - Street 1:517 CENTERPOINT DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-7570
Practice Address - Country:US
Practice Address - Phone:860-920-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4143694OtherSTATE ID NUMBER