FAERIELAND LLC (NPI# 1376163725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376163725 |
Entity Type | Organization |
Organization Name | FAERIELAND LLC |
Practice Address |
470 Edgewood St Fl 2 Hartford CT 06112-1917 |
Practice Telephone | 8608140771 |
Mailing Telephone | 8608140771 |
Enumeration Date | 2020-04-24 |
Last Update Date | 2020-06-14 |
Authorized Official Name | MS. SAPPHIRE R FAIRCHILD (MEMBER) |
Authorized Official Telephone | 8608140771 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
Y | 253Z00000X | In Home Supportive Care | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | Faerieland LLC | 470 Edgewood St 2nd Floor, Hartford, CT 06112 |
Street Address |
470 EDGEWOOD ST FL 2 |
City | HARTFORD |
State | CT |
Zip Code | 06112-1917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750906863 | Sapphire R Fairchild | Chore Provider | 470 Edgewood St Fl 2, Hartford, CT 06112-1917 | 2020-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
Find all providers in zip 06112 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245798917 | Maison Care LLC | In Home Supportive Care | 808 Windsor St, Hartford, CT 06120-1918 | 2019-03-12 |
1093188716 | Seniors In Need Inc | In Home Supportive Care | 310 Ave H, Hartford, AL 36344 | 2015-11-03 |
1598172934 | Hummingbird Light LLC. | In Home Supportive Care | 32 Freeman St, Hartford, CT 06114-2719 | 2014-07-17 |
1639591043 | Meschac Hercules | In Home Supportive Care | 33 Sargeant St, Hartford, CT 06105-1450 | 2014-01-20 |
1023489424 | Hercules Helping Hands, LLC | In Home Supportive Care | 750 Main St, Suite 305, Hartford, CT 06103-2703 | 2015-10-12 |
1568839264 | Twilight Companion and Homemakers LLC | In Home Supportive Care | 151 New Park Avenue, Suite 125, Hartford, CT 06106-2179 | 2015-08-28 |
1639581267 | Hercules Helping Hands, LLC | In Home Supportive Care | 33 Sargeant St, Hartford, CT 06105-1450 | 2014-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932709755 | Easy Peasy Home Care LLC | In Home Supportive Care | 27 Coach Cir Unit 4, Naugatuck, CT 06770-1850 | 2020-10-30 |
1558960518 | Resolute Home Care Services LLC | In Home Supportive Care | 2 Armonk St Ste 1085, Greenwich, CT 06830-5803 | 2020-10-21 |
1013514744 | The Homeaides | In Home Supportive Care | 517 Centerpoint Dr, Middletown, CT 06457-7570 | 2020-10-06 |
1184231342 | Caring for Parent LLC | In Home Supportive Care | 179 S Stone St, West Suffield, CT 06093-3217 | 2020-09-30 |
1124633011 | The Harp Group, LLC | In Home Supportive Care | 150 Boston Post Rd, Madison, CT 06443-2136 | 2020-09-09 |
1356954903 | Gentle Touch Homecare Services LLC | In Home Supportive Care | 340 Broad St Ste 103, Windsor, CT 06095-3030 | 2020-08-24 |
1326659731 | Beloved Home Care LLC | In Home Supportive Care | 27 High St Unit B, Vernon, CT 06066-3638 | 2020-08-11 |
1730799271 | The Urban Light LLC | In Home Supportive Care | 46 Strong St, Manchester, CT 06042-3110 | 2020-08-07 |
1225656283 | Central Health Homecare, LLC | In Home Supportive Care | 127 Tunxis Hill Rd Ste 2, Fairfield, CT 06825-4838 | 2020-07-07 |
1154948651 | Easycare Home Care Agency LLC | In Home Supportive Care | 177 W Putnam Ave Ste 2678, Greenwich, CT 06830-5203 | 2020-06-30 |
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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.