Provider Demographics
NPI:1154696557
Name:TOTALCARE HOME HEALTH OF CONNECTICUT, LLC
Entity type:Organization
Organization Name:TOTALCARE HOME HEALTH OF CONNECTICUT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRISGONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-931-9068
Mailing Address - Street 1:70 JACKSON DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3510
Mailing Address - Country:US
Mailing Address - Phone:908-931-9068
Mailing Address - Fax:908-931-9698
Practice Address - Street 1:70 JACKSON DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3510
Practice Address - Country:US
Practice Address - Phone:908-931-9068
Practice Address - Fax:908-931-9698
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE ALTERNATIVES HOSPICE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-19
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health