Active NPI
Robert Scandura
- Home Health Aide
- Wethersfield, CT
National Provider Identifier
1174181408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HCA.0000139
- Practice address
- 30 Jordan LN Ste 3
Wethersfield, CT 06109-1278 - Phone
- (860) 436-9757
- Fax
- (860) 436-9679
- NPI assigned
- Jun 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | HCA.0000139 | CT | |
| Home Health Aide | 374U00000X | HCA.0000139 | CT | Primary |
Addresses
Primary practice location
30 Jordan LN Ste 3
Wethersfield, CT 06109-1278
Mailing address
30 Jordan LN Ste 3
Wethersfield, CT 06109-1278
Phone (860) 436-9757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8045681 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carmela@rahomecare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCA.0000139 | CT | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right at Home in Homecare & Assistance | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1588977540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559433600000",
"number": "1174181408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 JORDAN LN STE 3",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061091278",
"telephone_number": "860-436-9757",
"fax_number": "860-436-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 JORDAN LN STE 3",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061091278",
"telephone_number": "860-436-9757",
"fax_number": "860-436-9679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANDURA",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-02",
"last_updated": "2019-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "CT",
"license": "HCA.0000139",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "CT",
"license": "HCA.0000139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8045681",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carmela@rahomecare.com",
"affiliation": "N",
"address_1": "30 Jordan Ln Ste 3",
"city": "Wethersfield",
"state": "CT",
"country_code": "US",
"postal_code": "061091278",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.