Organization Active NPI

White Rose Home Healthcare Agency

  • Home Health Agency
  • Bridgeport, CT
National Provider Identifier
1144695461
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0001039 Issued in CT
Legal business name
WHITE ROSE HOME HEALTHCARE AGENCY
Practice address
1000 Lafayette Blvd
Suite 1100
Bridgeport, CT 06604-4725
Phone
(203) 683-6055
Fax
(203) 683-5901
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Jodyann N Prendergast
Title
Ceo/President
Phone
(203) 683-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0001039 CT Primary

Addresses

Primary practice location

1000 Lafayette Blvd
Suite 1100
Bridgeport, CT 06604-4725

Mailing address

1000 Lafayette Blvd
Suite 1100
Bridgeport, CT 06604-4725
Phone (203) 683-6055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1144695461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD",
            "address_2": "SUITE 1100",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044725",
            "telephone_number": "203-683-6055",
            "fax_number": "203-683-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD",
            "address_2": "SUITE 1100",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044725",
            "telephone_number": "203-683-6055",
            "fax_number": "203-683-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROSE HOME HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "JODYANN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "203-683-6055"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "0001039",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2015; 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.