Provider Demographics
NPI:1023575917
Name:CARE FOR YOU @ HOME, LLC
Entity type:Organization
Organization Name:CARE FOR YOU @ HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:NIERODA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-466-7898
Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06083-0818
Mailing Address - Country:US
Mailing Address - Phone:877-466-7898
Mailing Address - Fax:
Practice Address - Street 1:900 RIVER ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-1368
Practice Address - Country:US
Practice Address - Phone:877-466-7898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care