Wolverine Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCA.0000795 Issued in CT

Legal business name

WOLVERINE CORPORATION

Doing business as

Charles HomeCare

Practice address

20 Tower LN Ste 500
Avon, CT 06001-4263

Phone

(914) 419-9610

Fax

(845) 226-1305

NPI assigned

Oct 29, 2015

Last updated

Sep 2, 2022By 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

Mr. John Shang Lew

Title

President

Phone

(914) 419-9610

Specialties & licenses 2

Addresses

Other names 1

• Charles HomeCare Doing business as

Locations

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1073985099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWER LN STE 500",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014263",
            "telephone_number": "914-419-9610",
            "fax_number": "845-226-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWER LN STE 500",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014263",
            "telephone_number": "914-419-9610",
            "fax_number": "845-226-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Darling Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060014244",
            "country_code": "US",
            "telephone_number": "860-217-0693",
            "fax_number": "860-217-0951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOLVERINE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-419-9610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "HCA.0000795",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Wininger, LPC
• Sarah Wizner Waltman, LCSW
• Joseph James Wolf, M.D.
• Haley Wolfanger, DPT
• Cory Wolski
• Hoo- Ching (Judy) Wong, RD, CDN, PA-C
• Katrina Woodward, CCC-SLP
• Brigitte Worgaftik, MD
• Lois Wurzel, MD
• Susan Wynne, LCSW

• Home Health Agency in Avon, CT
• Providers in Avon, 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 Sep 2, 2022; 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.