LIFESPAN HOME HEALTHCARE AGENCY, LLC (NPI# 1609338862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609338862 |
| Entity Type | Organization |
| Organization Name | LIFESPAN HOME HEALTHCARE AGENCY, LLC |
| Practice Address |
199 Oakwood Ave West Hartford CT 06119-2150 |
| Practice Telephone | 8605009455 |
| Mailing Telephone | 8605009455 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | ADA I MIRANDA (MANAGING MEMBER) |
| Authorized Official Telephone | 8605009455 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | LIFESPAN HOME HEALTHCARE AGENCY, LLC | 199 Oakwood Ave., West Hartford, CT 06119 |
| Street Address |
199 OAKWOOD AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896609 | Revelation Counseling, LLC | Social Worker | 199 Oakwood Ave, West Hartford, CT 06119-2150 | 2018-03-26 |
| 1558915454 | Myrnel Gegu | Social Worker | 199 Oakwood Ave, West Hartford, CT 06119-2150 | 2019-07-29 |
| 1750879920 | Kareem Ayodeji | Social Worker | 199 Oakwood Ave, West Hartford, CT 06119-2150 | 2018-04-24 |
| 1740786201 | A New Way Therapeutics | Social Worker | 199 Oakwood Ave, West Hartford, CT 06119-2150 | 2018-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| 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 |
|---|---|---|---|---|
| 1669012472 | Natures Way Elite, LLC | Home Health | 528 New Park Ave, West Hartford, CT 06110-1313 | 2020-01-09 |
| 1780177873 | Homeboy Health | Home Health | 107 Clifton Ave, West Hartford, CT 06107-1719 | 2018-06-13 |
| 1306153820 | Care Given At Home | Home Health | 8 Crossroads Plz, West Hartford, CT 06117-2467 | 2010-09-03 |
| 1801059134 | American Home Health, Inc | Home Health | 485 New Park Ave, Suite O3, West Hartford, CT 06110-1333 | 2008-07-07 |
| 1356499099 | Advanced Home Health Care Agency, Inc | Home Health | 104 Park Rd, West Hartford, CT 06119-1750 | 2007-01-08 |
| 1154317048 | Mercy Community Homecare Services, Inc | Home Health | 2021 Albany Avenue, West Hartford, CT 06117 | 2005-09-26 |
| 1255849725 | Release Wellness | Home Health | 805 Farmington Ave, West Hartford, CT 06119-1670 | 2018-01-17 |
| 1750738951 | Juniper Homecare, LLC | Home Health | 1086 New Britain Ave, West Hartford, CT 06110-2429 | 2016-05-17 |
| 1487009494 | Careteam Nurses Homecare Agency LLC | Home Health | 77 Shadow Ln, West Hartford, CT 06110-1643 | 2016-04-27 |
| 1982093258 | Caremed Health Services LLC | Home Health | 485 New Park Ave, West Hartford, CT 06110-1333 | 2015-01-09 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
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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.