Provider Demographics
NPI:1982329637
Name:REMARKABLE HOME HEALTH CARE
Entity Type:Organization
Organization Name:REMARKABLE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOATENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-843-8182
Mailing Address - Street 1:311 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-4424
Mailing Address - Country:US
Mailing Address - Phone:203-843-8182
Mailing Address - Fax:203-390-5100
Practice Address - Street 1:311 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-4424
Practice Address - Country:US
Practice Address - Phone:203-843-8182
Practice Address - Fax:203-390-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT251E00000XOtherHOME HEALTH CARE