Provider Demographics
NPI:1831977123
Name:CARE4CARE AT HOME LLC
Entity type:Organization
Organization Name:CARE4CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WIAFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-960-7070
Mailing Address - Street 1:221 MAIN ST FL 5
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-1866
Mailing Address - Country:US
Mailing Address - Phone:860-960-7070
Mailing Address - Fax:
Practice Address - Street 1:221 MAIN ST FL 5
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-1866
Practice Address - Country:US
Practice Address - Phone:860-960-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health