Mehdi LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

HCA.0000440 Issued in CT

Legal business name

MEHDI LLC

Practice address

37 Center St
511 Pine Street
Bristol, CT 06010-4917

Phone

(860) 583-3338

Fax

(860) 582-2226

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDICS HOME HEALTHCAREAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ajmal Mehdi, CNA

Title

Cna,PCT, Manager

Phone

(860) 583-3338

Specialties & licenses 2

Addresses

Part of

Mehdi LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1003119140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN ST # 1423",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060329992",
            "telephone_number": "860-583-3338",
            "fax_number": "860-582-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CENTER ST",
            "address_2": "511 PINE STREET",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104917",
            "telephone_number": "860-583-3338",
            "fax_number": "860-582-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHDI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICS HOME HEALTHCARE",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "MEHDI",
        "authorized_official_first_name": "AJMAL",
        "authorized_official_title_or_position": "CNA,PCT, MANAGER",
        "authorized_official_telephone_number": "860-583-3338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "NA9992331",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CT",
            "license": "HCA.0000440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Lee Anne McKenna, OTR/L
• McKeon Counseling Services LLC
• Timothy Patrick McLaughlin
• Jean Elise Medeiros, RN
• Medhelp PC
• John Richard Melanson, D.M.D.
• Aline Mellon, RPT
• Lisa Menillo, MD
• Nandini Ravindra Menon, M.D
• Mep of Bristol, LLC

• Physical Disabilities Residential Treatment Facility in Bristol, CT
• Providers in Bristol, CT by specialty
• Physical Disabilities Residential Treatment Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.