Provider Demographics
NPI:1992257554
Name:KEEP ME SAFE AT HOME
Entity type:Organization
Organization Name:KEEP ME SAFE AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRENETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-361-6381
Mailing Address - Street 1:142 CEDAR HILL AVE APT 2L
Mailing Address - Street 2:
Mailing Address - City:NEWHAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:UM
Mailing Address - Phone:203-745-1863
Mailing Address - Fax:203-498-7670
Practice Address - Street 1:142 CEDAR HILL AVE # 2L
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-2708
Practice Address - Country:US
Practice Address - Phone:203-361-6381
Practice Address - Fax:203-498-7670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0001178251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health