Provider Demographics
NPI:1780138529
Name:C & M HEALTH SERVICES CT LLC
Entity type:Organization
Organization Name:C & M HEALTH SERVICES CT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MISKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-321-0349
Mailing Address - Street 1:19 W 44TH ST
Mailing Address - Street 2:SUITE NUMBER 510
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-5902
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:405 MAPLE AVE
Practice Address - Street 2:NUMBER 1
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2154
Practice Address - Country:US
Practice Address - Phone:201-321-0349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health