Provider Demographics
NPI:1063746147
Name:ENHANCED CARE INITIATIVES
Entity type:Organization
Organization Name:ENHANCED CARE INITIATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-925-9600
Mailing Address - Street 1:10 PROGRESS DR
Mailing Address - Street 2:200
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6216
Mailing Address - Country:US
Mailing Address - Phone:203-925-9600
Mailing Address - Fax:203-926-0594
Practice Address - Street 1:10 PROGRESS DR
Practice Address - Street 2:200
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6216
Practice Address - Country:US
Practice Address - Phone:203-925-9600
Practice Address - Fax:203-926-0594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management