Organization
HARTFORD HEALTHCARE INDEPENDENCE AT HOME
Active
Other names
VNA Health Resources
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ST. JOHN RN, MSN (VICE PRESIDENT)
(860) 878-4848
Entity
Organization
Contact information
Practice address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 249-4862
(860) 493-5988
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 249-4862
(860) 493-5988
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004042750
—
CT
01
—
004073268
CT COMMUNITY CARE INC
CT
01
—
004130407
CT HONE CARE PROGRAM
CT
01
—
253
ANTHEM BCBS
CT
01
—
2V5229
HEALTH NET
CT
01
—
790049
CONNECTICARE
CT
01
—
A471833
OXFORD
CT
Enumeration date
07/27/2006
Last updated
03/30/2018
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