# MERCY HOME CARE OF CONNECTICUT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Cares Boutique
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184873424
- **Authorized official:** MR. HAROLD J FREDHEIM (PRESIDENT & CEO)
- **Authorized official phone:** (203) 852-0773

## Contact information

- **Practice address:** 2 LIBRARY PL, UNIT B, BETHEL, CT 06801-2106
- **Practice address phone:** (203) 796-0143
- **Practice address fax:** (203) 796-0163
- **Mailing address:** 28 KNIGHT ST, NORWALK, CT 06851-4719
- **Mailing address phone:** (203) 852-0773
- **Mailing address fax:** (203) 299-0415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | CT | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 09/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004180593 | WELLCARE | CT |
| 05 | — | 004180593 | — | CT |
| 01 | — | 12DME0964CT02 | ANTHEM BC/BS | CT |
| 01 | — | A893738 | OXFORD HEALTH PLANS | CT |