PROSPECT WATERBURY HOME HEALTH, INC. (NPI# 1265880413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265880413 |
| Entity Type | Organization |
| Organization Name | PROSPECT WATERBURY HOME HEALTH, INC. |
| Other Organization Name | VNA AT HOME |
| Practice Address |
27 Siemon Company Dr Suite 101 Watertown CT 06795-2654 |
| Practice Telephone | 8602747531 |
| Mailing Telephone | 8602747531 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| VNA at Home | Other Name - Individual/Organization |
| Street Address |
27 SIEMON COMPANY DR SUITE 101 |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384939 | Vna Health At Home, Inc | Home Health | 27 Siemon Company Dr, Ste 101, Watertown, CT 06795-2654 | 2005-05-23 |
| 1346871720 | Alanna Esther Mouta | Counselor | 27 Siemon Company Dr, Watertown, CT 06795-2654 | 2020-02-04 |
| 1043789316 | Artlighten LLC | Counselor | 27 Siemon Company Dr, Watertown, CT 06795-2654 | 2018-11-16 |
| 1205339504 | Genna Riggi | Counselor | 27 Siemon Company Dr, Watertown, CT 06795-2654 | 2018-03-13 |
| 1245683978 | Lotus Counseling of Connecticut LLC | Community/Behavioral Health | 27 Siemon Company Dr, Suite 360w, Watertown, CT 06795-2654 | 2016-07-18 |
| 1699015081 | Lianna Tsangarides | Social Worker | 27 Siemon Company Dr, Suite 238w, Watertown, CT 06795-2654 | 2013-02-21 |
| 1518263839 | Jaime Nicole Ricard | Speech-Language Pathologist | 27 Siemon Company Dr, Ste 312, Watertown, CT 06795-2654 | 2011-02-03 |
| 1396977187 | Kerri Lynn Kozak | Physical Therapist | 27 Siemon Company Dr, Watertown, CT 06795-2654 | 2009-08-13 |
| 1275652026 | Project Interact, Inc | Day Training, Developmentally Disabled Services | 27 Siemon Company Dr, Suite 312, Watertown, CT 06795-2654 | 2007-03-29 |
| 1356466882 | Vna Health At Home, Inc. | Home Health | 27 Siemon Company Dr, Watertown, CT 06795-2654 | 2007-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396232187 | Watertown Wellness Center LLC | Community/Behavioral Health | 116 Georgetown Drive, Watertown, CT 06795 | 2018-04-17 |
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1821348871 | Pamela D Siemon | Social Worker | 51 Depot St Ste 207, Watertown, CT 06795 | 2012-09-18 |
| 1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
| 1083919757 | Connecticut Music Therapy Services, LLC | Music Therapist | 51 Depot St., Suite 214, Watertown, CT 06795 | 2011-01-11 |
| 1083841456 | Erica Lee Opromollo | Social Worker | 35 Scott Ave, Watertown, CT 06795 | 2009-06-12 |
| 1033306816 | Stone Chiropractic LLC | Chiropractor | 51 Depot Square, Watertown, CT 06795 | 2007-09-26 |
| 1174640205 | Sheila Whitman | Counselor | 686 Main Street, Watertown, CT 06795 | 2007-03-23 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| 1417344607 | Peter Anthony Ferrante | Podiatrist | 777 Echo Lake Rd Unit F, Watertown, CT 06795 | 2015-04-25 |
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| 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 |
|---|---|---|---|---|
| 1285178673 | Adaptive Homecare LLC | Home Health | 152 Robbins Rd, Watertown, MA 02472-4922 | 2016-12-05 |
| 1285889089 | Quality Visiting Nurses LLC | Home Health | 470 Straits Tpke, Watertown, CT 06795-3323 | 2008-11-20 |
| 1588789036 | Kjm Enterprises Inc | Home Health | 111 N Third Street, Watertown, WI 53094 | 2007-03-20 |
| 1255300299 | Caring Companions LLC | Home Health | 507 S 5th St, Watertown, WI 53094-4608 | 2006-03-14 |
| 1902880016 | Mount Auburn Hospital | Home Health | 1 Arsenal Market Pl, Watertown, MA 02472-5018 | 2005-12-01 |
| 1972505154 | Watertown Regional Medical Center, Inc | Home Health | 125 Hospital Dr, Watertown, WI 53098-3303 | 2005-06-01 |
| 1043213283 | Jefferson County | Home Health | 531 Meade St, Watertown, NY 13601-1225 | 2005-05-23 |
| 1750384939 | Vna Health At Home, Inc | Home Health | 27 Siemon Company Dr, Ste 101, Watertown, CT 06795-2654 | 2005-05-23 |
| 1477006716 | Allume Home Care LLC | Home Health | 1044 Main St, 12, Watertown, CT 06795-2930 | 2016-08-03 |
| 1588036768 | Milestones Children's Center | Home Health | 16783 Ives Street Ext, Watertown, NY 13601-5312 | 2015-10-27 |
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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.