Provider Demographics
NPI:1396156287
Name:HOME AID OF CT INC
Entity type:Organization
Organization Name:HOME AID OF CT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-206-1878
Mailing Address - Street 1:6 BLACKWATCH LN
Mailing Address - Street 2:
Mailing Address - City:LEDYARD
Mailing Address - State:CT
Mailing Address - Zip Code:06339-1707
Mailing Address - Country:US
Mailing Address - Phone:860-400-0096
Mailing Address - Fax:
Practice Address - Street 1:6 BLACKWATCH LN
Practice Address - Street 2:
Practice Address - City:LEDYARD
Practice Address - State:CT
Practice Address - Zip Code:06339-1707
Practice Address - Country:US
Practice Address - Phone:860-400-0096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000855251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health