Mallika Budhai
Individual provider Active NPI Home Health Aide · Wethersfield, CT
NPI 1144980970 · NPPES record last updated Dec 21, 2021
Key facts
- NPI
- 1144980970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 591 Ridge Rd
Wethersfield, CT 06109-2633 - Phone
- (860) 960-5914
- NPI assigned
- Dec 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
591 Ridge Rd
Wethersfield, CT 06109-2633
Mailing address
591 Ridge Rd
Wethersfield, CT 06109-2633
Phone (860) 960-5914
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019308923 | Other | CT | HOME CARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WETHERSFIELD |
Other providers in Wethersfield, CT
- Deborah Ann Broadley
- Rohan Brown
- Thomas Andrew Brown
- Melissa Marie Broxton
- Jared Paul Buchanan
- Building Bridges, LLC
- Joy Marie Burchell
- Meghan E Burgess
- Samantha Burgos
- Nichole E Burns
All providers in Wethersfield, CT · Home Health Aide in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.