Active NPI
New Age Homecare Solutions LLC
- Home Health Agency
- Bridgeport, CT
National Provider Identifier
1114213220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCA0000483
- Legal business name
- NEW AGE HOMECARE SOLUTIONS LLC
- Practice address
- 53 Calhoun Ave
Bridgeport, CT 06604-3109 - Phone
- (203) 612-8419
- NPI assigned
- Jun 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard K Minto
- Title
- Owner
- Phone
- (203) 612-8419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HCA0000483 | CT | Primary |
Addresses
Primary practice location
53 Calhoun Ave
Bridgeport, CT 06604-3109
Mailing address
53 Calhoun Ave
Bridgeport, CT 06604-3109
Phone (203) 612-8419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCA0000483 | Other | CT | DEPT OF CONSUMER PROTECTION |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309132800000",
"number": "1114213220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 CALHOUN AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066043109",
"telephone_number": "203-612-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 CALHOUN AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066043109",
"telephone_number": "203-612-8419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW AGE HOMECARE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A",
"authorized_official_last_name": "MINTO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-612-8419",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CT",
"license": "HCA0000483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF CONSUMER PROTECTION",
"identifier": "HCA0000483",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.