Provider Demographics
NPI:1245012749
Name:HEALTHCARE PROFESSIONAL SERVICES
Entity type:Organization
Organization Name:HEALTHCARE PROFESSIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VENNIECE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHINSON-MCANUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-409-9632
Mailing Address - Street 1:61 PLATT AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-5728
Mailing Address - Country:US
Mailing Address - Phone:203-928-0016
Mailing Address - Fax:
Practice Address - Street 1:61 PLATT AVE
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-5728
Practice Address - Country:US
Practice Address - Phone:203-928-0016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE PROFESSIONAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health