Provider Demographics
NPI:1629669460
Name:GARDEN HILL HOME CARE & WELLNESS
Entity type:Organization
Organization Name:GARDEN HILL HOME CARE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:WEST
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:203-565-0245
Mailing Address - Street 1:165 FRENCH STREET
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-5554
Mailing Address - Country:US
Mailing Address - Phone:860-261-4728
Mailing Address - Fax:
Practice Address - Street 1:165 FRENCH STREET
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-5554
Practice Address - Country:US
Practice Address - Phone:860-261-4728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care