Provider Demographics
NPI:1740670959
Name:REGIONAL HOSPICE AND HOME CARE OF WESTERN CONNECTICUT, INC.
Entity type:Organization
Organization Name:REGIONAL HOSPICE AND HOME CARE OF WESTERN CONNECTICUT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TONIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-702-7414
Mailing Address - Street 1:30 MILESTONE ROAD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810
Mailing Address - Country:US
Mailing Address - Phone:203-702-7400
Mailing Address - Fax:203-702-7401
Practice Address - Street 1:30 MILESTONE ROAD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810
Practice Address - Country:US
Practice Address - Phone:203-702-7400
Practice Address - Fax:203-702-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004081288Medicaid
CT008007940Medicaid
CT071518Medicare PIN
CT004081288Medicaid