OUR FAMILY HOME HEALTHCARE (NPI# 1255837621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255837621 |
| Entity Type | Organization |
| Organization Name | OUR FAMILY HOME HEALTHCARE |
| Other Organization Name | CONNECTICUT HEALTHCARE |
| Practice Address |
330 Granfield Ave Bridgeport CT 06610-2305 |
| Mailing Address |
435 S 5th Ave Mount Vernon NY 10550-4417 |
| Practice Telephone | 2039169020 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | SHAQUILLE HENRY (OWNER) |
| Authorized Official Telephone | 2039085641 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONNECTICUT HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Connecticut Health Care Agency | Former Legal Business Name - Organization |
| Connecticut Healthcare | Doing Business As Name - Organization |
| Connecticut Healthcare | Former Legal Business Name - Organization |
| Street Address |
330 GRANFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479084 | Colleen Morrison Campbell | Home Health | 126 Red Oak Rd, Bridgeport, CT 06606-1429 | 2020-02-20 |
| 1689225690 | Believe In You Care LLC | Home Health | 197 Burnsford Ave, Bridgeport, CT 06606-3443 | 2019-09-23 |
| 1205490489 | Erika Mireya Chiluisa | Home Health | 136 Savoy St, Bridgeport, CT 06606-4116 | 2019-04-23 |
| 1164992723 | Connecticut Executive Caregivers LLC | Home Health | 800 Union Ave., Bridgeport, CT 06607 | 2018-11-27 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1134655939 | Sweet Home Care LLC | Home Health | 860 Clinton Ave, Bridgeport, CT 06604-2303 | 2017-05-11 |
| 1205362878 | Hudson Home Healthcare Svcs LLC | Home Health | 341 Beechmont Ave, Bridgeport, CT 06606-3701 | 2017-05-02 |
| 1518316009 | Care Gurus LLC | Home Health | 325 Texas Ave, Bridgeport, CT 06610-1856 | 2016-06-06 |
| 1942658968 | Angelica Ogunjobi | Home Health | 210 Washington Ave, Apt 217, Bridgeport, CT 06604-3806 | 2016-05-31 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.