Provider Demographics
NPI:1013659580
Name:LOVE AND COMPASSIONATE CARE CORP
Entity Type:Organization
Organization Name:LOVE AND COMPASSIONATE CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN, CS.
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BRDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-614-8110
Mailing Address - Street 1:14 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ELLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06029-3040
Mailing Address - Country:US
Mailing Address - Phone:860-614-8110
Mailing Address - Fax:
Practice Address - Street 1:14 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:ELLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06029-3040
Practice Address - Country:US
Practice Address - Phone:860-614-8110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty