Provider Demographics
NPI:1801243225
Name:PROSPECT CARING HAND, INC.
Entity type:Organization
Organization Name:PROSPECT CARING HAND, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:310-943-4520
Mailing Address - Street 1:45 HARTFORD TPKE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5274
Mailing Address - Country:US
Mailing Address - Phone:860-643-1623
Mailing Address - Fax:
Practice Address - Street 1:45 HARTFORD TPKE
Practice Address - Street 2:SUITE 3
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5274
Practice Address - Country:US
Practice Address - Phone:860-643-1623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health