PROFESSIONAL HOME CARE SERVICES,INC (NPI# 1285639914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285639914 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL HOME CARE SERVICES,INC |
| Other Organization Name | BIOSCRIP MEDICAL SERVICES |
| Practice Address |
106 Sebethe Dr Cromwell CT 06416-1094 |
| Mailing Address |
1600 Broadway Suite 700 Denver CO 80202-4927 |
| Practice Telephone | 8002533738 |
| Mailing Telephone | 7206975171 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | CLIFFORD BERMAN (SR. VP, GENERAL COUNSEL, SECRETARY) |
| Authorized Official Telephone | 8008796137 |
| Is Organization Subpart | Y |
| Parent Organization Name | BIOSCRIP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
N/A | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BEDDING/UPHOLSTERED LICENSE | SHD.CT.0005835 | 01 |
| CT | WHOLESALER LICENSE | CSW.0000666 | 01 |
| CT | DEVICE REGISTRATION | DEV.0007169 | 01 |
| CT | 004104957 | 05 | |
| CT | STERILIZATION BEDDING LICENSE | STP.CT.0002044 | 01 |
| Other Name | Type Code |
|---|---|
| BioScrip Medical Services | Doing Business As Name - Organization |
| Street Address |
106 SEBETHE DR |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972537058 | Middlesex Home Care & Supplies Inc | Durable Medical Equipment & Medical Supplies | 160 West St, Bldg 1 Suite K, Cromwell, CT 06416 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205275567 | Eastern Connecticut Home Oxygen LLC | Durable Medical Equipment & Medical Supplies | 115 Lafayette St, Norwich, CT 06360-2708 | 2013-06-20 |
| 1689996688 | Health Complex Medical Inc. | Durable Medical Equipment & Medical Supplies | 250 Westport Ave, Suite K, Norwalk, CT 06851-4158 | 2010-02-18 |
| 1104155084 | Suburban Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 348 North Main Street, West Hartford, CT 06117-2510 | 2009-12-23 |
| 1114150083 | Companions Forever, LLC | Durable Medical Equipment & Medical Supplies | 25 Charter Oak Ave, Hartford, CT 06106-1801 | 2009-08-26 |
| 1386882025 | J & L Medical Services | Durable Medical Equipment & Medical Supplies | 640 Silas Deane Hwy, Wethersfield, CT 06109-3053 | 2009-02-03 |
| 1124207782 | Home Care Medical LLC | Durable Medical Equipment & Medical Supplies | 53 East Industrial Road, Suite B2, Branford, CT 06405 | 2007-10-31 |
| 1942335427 | Suburban Home Medical Inc | Durable Medical Equipment & Medical Supplies | 141 South St, West Hartford, CT 06110-1963 | 2007-02-23 |
| 1760530190 | Procaire, LLC | Durable Medical Equipment & Medical Supplies | 51 Triano Dr, Southington, CT 06489-1779 | 2007-01-08 |
| 1982718730 | Boylan Home Care LLC | Durable Medical Equipment & Medical Supplies | 554 Liberty Hwy, 8 Colonial Plaza, Putnam, CT 06260-2728 | 2006-08-18 |
| 1104839232 | Technical Gas Products Inc | Durable Medical Equipment & Medical Supplies | 66 Leonardo Dr, North Haven, CT 06473-2527 | 2006-08-13 |
| 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.