Provider Demographics
NPI:1295130128
Name:COMPANIONS & HOMEMAKERS BY NANCY & HAZEL
Entity type:Organization
Organization Name:COMPANIONS & HOMEMAKERS BY NANCY & HAZEL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAWICK-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-456-3626
Mailing Address - Street 1:90 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:WILLIMANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06226-3336
Mailing Address - Country:US
Mailing Address - Phone:860-456-3626
Mailing Address - Fax:860-456-0107
Practice Address - Street 1:90 S PARK ST
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-3336
Practice Address - Country:US
Practice Address - Phone:860-456-3626
Practice Address - Fax:860-456-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000144253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care