Organization Active NPI

Marisata Care LLC

Doing business as Actikare Responsive In-Home Care

  • Homemaker
  • Trumbull, CT
National Provider Identifier
1124897012
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
MARISATA CARE LLC
Doing business as
Actikare Responsive In-Home Care
Practice address
55 Merritt Blvd # 1307
Trumbull, CT 06611-5435
Phone
(860) 234-7254
Fax
(888) 422-3990
NPI assigned
Dec 20, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Mrs. Zynab BahNPI 1134814841
Title
Director
Phone
(860) 234-7254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

55 Merritt Blvd # 1307
Trumbull, CT 06611-5435

Mailing address

35 Harrington Ave Unit 1307
Shrewsbury, MA 01545-5277
Phone (860) 234-7254

Other names 1

  • Actikare Responsive In-Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

55 Merritt Blvd
#1307
Trumbull, CT 06611
Phone (860) 234-7254

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1124897012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HARRINGTON AVE UNIT 1307",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455277",
            "telephone_number": "860-234-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERRITT BLVD # 1307",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115435",
            "telephone_number": "860-234-7254",
            "fax_number": "888-422-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISATA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "ZYNAB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-234-7254",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Actikare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.