Provider Demographics
NPI:1245719988
Name:WARM-HEARTED HOME CARE LLC
Entity type:Organization
Organization Name:WARM-HEARTED HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RCC
Authorized Official - Prefix:MS
Authorized Official - First Name:LINA
Authorized Official - Middle Name:KUNADU
Authorized Official - Last Name:ACHEAMPONG
Authorized Official - Suffix:I
Authorized Official - Credentials:PCA
Authorized Official - Phone:860-995-2711
Mailing Address - Street 1:52 MERCER AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06118-1516
Mailing Address - Country:US
Mailing Address - Phone:860-995-2711
Mailing Address - Fax:860-995-2711
Practice Address - Street 1:52 MERCER AVE
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06118-1516
Practice Address - Country:US
Practice Address - Phone:860-995-2711
Practice Address - Fax:860-995-2711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0001377251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1528557329Medicaid