1285050070 NPI number — CARING ARMS HOMECARE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285050070 NPI number — CARING ARMS HOMECARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING ARMS HOMECARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285050070
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 PUTNAM AVE UNIT 6535
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMDEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06517-7722
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
475-301-8414
Provider Business Mailing Address Fax Number:
203-889-8941

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
71 LENOX STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
475-301-8414
Provider Business Practice Location Address Fax Number:
203-889-4941
Provider Enumeration Date:
03/17/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PRATT
Authorized Official First Name:
IDA
Authorized Official Middle Name:
R
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
475-301-8414

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NA198508 . This is a "STATE OF CT CNA REGISTRY" identifier . This identifiers is of the category "OTHER".