MRS. THERESA BOATENG (NPI# 1386121895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386121895 |
| Entity Type | Individual |
| Full Name | MRS. THERESA BOATENG |
| Practice Address |
150 Shingle Hill Rd West Haven CT 06516 |
| Mailing Address |
150 Shingle Hill Rd West Haven CT 06516-5539 |
| Practice Telephone | 2038438182 |
| Practice Fax Number | 2036905100 |
| Mailing Telephone | 2038438182 |
| Mailing Fax Number | 2036905100 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-09-25 |
| NPI Deactivation Date | 08/24/2018 |
| NPI Reactivation Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376J00000X | Homemaker | CT | Nursing Service Related Providers | |
| Y | 376J00000X | Homemaker | HCA.0001442 | CT | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 82-46333610 | 05 | |
| CT | HOME CARE | 82-4633610 | 01 |
| Street Address |
150 SHINGLE HILL RD |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| 1548623093 | Sanya Virani | Psychiatry & Neurology | Va Ct Healthcare System, 950 Campbell Avenue, New Haven, CT 06516 | 2016-04-01 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850722 | Josephine K Nassar | Homemaker | 129 Newhall St, New Haven, CT 06511-1909 | 2020-10-27 |
| 1922614841 | Arthur Defrancisco | Homemaker | 96 Kings Hwy, Shelton, CT 06484-2942 | 2020-09-16 |
| 1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
| 1912537986 | Harmony Home Healthcare, LLC | Homemaker | 48 Foote Rd, East Haven, CT 06512-2503 | 2020-01-18 |
| 1407495856 | Ronesha C Cox | Homemaker | 24 Rock Creek Rd, New Haven, CT 06515-1208 | 2020-01-02 |
| 1063061307 | Chosen To Give Home Health Care Service | Homemaker | 259 Brewer St, East Hartford, CT 06118-2100 | 2019-09-09 |
| 1447713599 | Dorothy Bonnitto Grant-lewis | Homemaker | 1938 Main St, Stratford, CT 06615-6339 | 2019-04-07 |
| 1851853360 | Wcfa Inc. Dba Synergy Homecare of East Haven | Homemaker | 152 Saltonstall Pkwy Unit B, East Haven, CT 06512-2329 | 2019-04-03 |
| 1760941264 | Bella Home Health Care LLC | Homemaker | 74 Soundview Ave, Stamford, CT 06902-6137 | 2019-03-14 |
| 1083179469 | Pierre F. Dhaiti | Homemaker | 134 Soundview Ave, Bridgeport, CT 06606-2558 | 2019-02-10 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on MRS. THERESA BOATENG.
| 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.