Organization
HARTFORD HEALTHCARE AT HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ST. JOHN RN, MSN (VP HARTFORD HEALTHCARE AT HOME)
(860) 878-4848
Entity
Organization
Contact information
Practice address
1290 SILAS DEANE HWY STE 4B, WETHERSFIELD, CT 06109
(860) 249-4862
(860) 493-8598
Mailing address
1290 SILAS DEANE HWY, SUITE 4B, WETHERSFIELD, CT 06109-4337
(860) 249-4862
(860) 493-8598
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C81721
CT
374U00000X
Home Health Aide
C81721
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004042750
—
CT
01
—
004073268
CT COMMUNITY CARE INC
CT
01
—
004130407
CT HOME CARE PROGRAM
CT
01
—
253
ANTHEM BCBS
CT
01
—
790049
CONNECTICARE
CT
01
—
A471833
OXFORD
CT
Enumeration date
08/01/2006
Last updated
06/23/2021
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