Provider Demographics
NPI:1457119026
Name:PROACTIVE HOMEMAKERS & COMPANIONS
Entity Type:Organization
Organization Name:PROACTIVE HOMEMAKERS & COMPANIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:N C
Authorized Official - Last Name:CHERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-507-7944
Mailing Address - Street 1:115 EDGEWOOD AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-4585
Mailing Address - Country:US
Mailing Address - Phone:203-507-7944
Mailing Address - Fax:860-283-0114
Practice Address - Street 1:115 EDGEWOOD AVE APT 5
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4585
Practice Address - Country:US
Practice Address - Phone:860-283-0111
Practice Address - Fax:860-283-0114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health