Professional Care at Home LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PROFESSIONAL CARE AT HOME LLC

Practice address

27 Siemon Company Dr
Watertown, CT 06795-2654

Phone

(475) 235-8454

NPI assigned

Jun 21, 2021

Organization subpart

No

Name

Nikesha Taylor

Title

Owner

Phone

(475) 235-8454

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Care at Home LLC

  • In Home Supportive Care Agency
  • Watertown, CT
  • NPI 1609687516
  NPD tax ID

Tax ID family

Professional Care at Home LLC (2 organizations share this tax ID)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2021.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1043889421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "475-235-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "475-235-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NIKESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-235-8454"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie Lyn Petrucci, COTA
• Physiotherapy Associates Inc
• Christopher Pinkerton, OT
• Stephanie Lynnette Preston, ND
• Proactive Approach ABA
• Professional Care at Home LLC
• Project Interact, Inc
• Gerdt Propfe Jr., PT
• Prospect Waterbury Home Health, Inc.
• Quad ABA, LLC

• All providers in Watertown, CT
• Home Health Aide in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.