Provider Demographics
NPI:1841713575
Name:CNA'S CARE LLC
Entity type:Organization
Organization Name:CNA'S CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-450-7171
Mailing Address - Street 1:595 MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06480-1156
Mailing Address - Country:US
Mailing Address - Phone:415-450-7171
Mailing Address - Fax:
Practice Address - Street 1:595 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:CT
Practice Address - Zip Code:06480-1156
Practice Address - Country:US
Practice Address - Phone:415-450-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care