CHANGE A LIFETIME COMPANIES INC (NPI# 1235305665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235305665 |
Entity Type | Organization |
Organization Name | CHANGE A LIFETIME COMPANIES INC |
Practice Address |
168 Wainwright Place Stratford CT 06614 |
Practice Telephone | 2033458992 |
Practice Fax Number | 2033458992 |
Mailing Telephone | 2033458992 |
Mailing Fax Number | 2033458992 |
Enumeration Date | 2008-05-06 |
Last Update Date | 2012-04-19 |
Authorized Official Name | MRS. VERONICA K WILSON (OPERATIONS DIRECTOR) |
Authorized Official Telephone | 2033458992 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
N | 385H00000X | Respite Care | Respite Care Facility | ||
N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility | ||
N | 251E00000X | Home Health | Agencies | ||
Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
Street Address |
168 WAINWRIGHT PLACE |
City | STRATFORD |
State | CT |
Zip Code | 06614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
Find all providers in zip 06614 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952938359 | Inez Arboleda | Adult Companion | 2335 Madison Ave, Bridgeport, CT 06606-3244 | 2020-03-25 |
1720639438 | Jonathon Sanchez | Adult Companion | 31 High St Apt 8106, East Hartford, CT 06118-3804 | 2019-09-24 |
1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
1134697402 | Rose Derosier | Adult Companion | 892 Stillson Rd, Fairfield, CT 06824-3120 | 2018-11-05 |
1073088365 | Quiana Carmon | Adult Companion | 60 Virginia Dr, Meriden, CT 06450-7815 | 2018-10-12 |
1255837621 | Our Family Home Healthcare | Adult Companion | 330 Granfield Ave, Bridgeport, CT 06610-2305 | 2018-04-03 |
1700380706 | Joel Donnel Kirkland Sr. | Adult Companion | 30 Brewster St, New Haven, CT 06511-1804 | 2018-03-22 |
1003319617 | Elvina Benjamin | Adult Companion | 2600 Park Ave Unit 8w, Bridgeport, CT 06604-1321 | 2018-03-10 |
1487164794 | Edwin M Almonte | Adult Companion | 8 Library Pl, Bethel, CT 06801-2106 | 2017-10-02 |
1598281503 | Dyshai Mims | Adult Companion | 182 Hanover St, Bridgeport, CT 06604-3706 | 2017-08-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.