Provider Demographics
NPI:1962945717
Name:ASIANOUTLOOK IN HOME CARE INC.
Entity type:Organization
Organization Name:ASIANOUTLOOK IN HOME CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANITA JENNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MHPM
Authorized Official - Phone:860-381-5044
Mailing Address - Street 1:5 WASHINGTON DR
Mailing Address - Street 2:
Mailing Address - City:GALES FERRY
Mailing Address - State:CT
Mailing Address - Zip Code:06335-1936
Mailing Address - Country:US
Mailing Address - Phone:860-381-5044
Mailing Address - Fax:860-381-5353
Practice Address - Street 1:5 WASHINGTON DR
Practice Address - Street 2:
Practice Address - City:GALES FERRY
Practice Address - State:CT
Practice Address - Zip Code:06335-1936
Practice Address - Country:US
Practice Address - Phone:860-381-5044
Practice Address - Fax:860-381-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000312251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health