Provider Demographics
NPI:1457434003
Name:ALL ABOUT YOU COLLABORATIVE HEALTH CARE SERVICES.LLC (D.B.A.)
Entity Type:Organization
Organization Name:ALL ABOUT YOU COLLABORATIVE HEALTH CARE SERVICES.LLC (D.B.A.)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-720-9383
Mailing Address - Street 1:21 CHURCH ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-4111
Mailing Address - Country:US
Mailing Address - Phone:203-720-9383
Mailing Address - Fax:203-720-9268
Practice Address - Street 1:21 CHURCH ST
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-4111
Practice Address - Country:US
Practice Address - Phone:203-720-9383
Practice Address - Fax:203-720-9268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251E00000X
CT004214037251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004214037OtherAGENCY ON AGING
CT004213120Medicaid