Park City Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PARK CITY HOME CARE

Practice address

80 Elm St
Bridgeport, CT 06604-4115

Phone

(203) 870-8008

Fax

(203) 330-8007

NPI assigned

Dec 27, 2023

Last updated

Jan 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis Villegas

Title

Ceo

Phone

(203) 870-8008

Specialties & licenses 1

Addresses

Other names 1

• none Other name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elba Iris Crespo, PHD

  • Psychologist
  • Fairfield, CT
  • NPI 1669528774
  NPD
• Noel Heriberto Sepulveda, D.C., M.S.

  • Chiropractor
  • Bridgeport, CT
  • NPI 1831477975
  NPD
• Dwayne Alansier Hall, DNP

  • Nurse Practitioner
  • Derby, CT
  • NPI 1013624535
  NPD (past)

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1033988316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ELM ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044115",
            "telephone_number": "203-870-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ELM ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044115",
            "telephone_number": "203-870-8008",
            "fax_number": "203-330-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-870-8008"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarayu Roopa Parise, MD
• Elinor Parisi, MS, MA
• Margaret Parisi, PA-S
• Park City Adult Day Care Inc.
• Park City Hearing Aid Inc.
• Park City Wellness Center, LLC
• Sy on Park-Dinga, O.D
• Christopher Renn Park, RN
• Junhee Park, M.D.
• Casey Parker

• Home Health Agency in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.