Provider Demographics
NPI:1356809388
Name:OXFORD HOME CARE LLC
Entity type:Organization
Organization Name:OXFORD HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-310-2898
Mailing Address - Street 1:71 W DUDLEY TOWN RD STE C
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-5308
Mailing Address - Country:US
Mailing Address - Phone:860-310-2898
Mailing Address - Fax:860-955-2573
Practice Address - Street 1:71 W DUDLEY TOWN RD STE C
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-5308
Practice Address - Country:US
Practice Address - Phone:860-310-2898
Practice Address - Fax:860-955-2573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health