Organization
PATHWELL CT, INC.
Active
Other names
PathWell Home Health, Shamrock Home Care, PathWell Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW QUINN (COO)
(475) 256-0871
Entity
Organization
Contact information
Practice address
99 HAWLEY LN STE 1001, STRATFORD, CT 06614-1204
(203) 256-1804
(203) 259-8523
Mailing address
99 HAWLEY LN STE 1001, STRATFORD, CT 06614-1204
(203) 256-1804
(203) 259-8523
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C9206505
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004114104
—
CT
01
—
0V9964
HEALTH NET
CT
01
—
1871569707
UNITED HEALTHCARE
CT
01
—
298
ANTHEM BLUE CROSS
CT
01
—
CU3190
CCS
CT
Enumeration date
02/28/2006
Last updated
06/09/2024
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