Mercy Home Care of Connecticut, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MERCY HOME CARE OF CONNECTICUT, INC.

Doing business as

Mercy Cares Boutique

Practice address

2 Library PL
Unit B
Bethel, CT 06801-2106

Phone

(203) 796-0143

Fax

(203) 796-0163

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Harold J Fredheim

Title

President & Ceo

Phone

(203) 852-0773

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Mercy Cares Boutique Doing business as

Locations

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1184873424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KNIGHT ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514719",
            "telephone_number": "203-852-0773",
            "fax_number": "203-299-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LIBRARY PL",
            "address_2": "UNIT B",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012106",
            "telephone_number": "203-796-0143",
            "fax_number": "203-796-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME CARE OF CONNECTICUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "FREDHEIM",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "203-852-0773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "004180593",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "A893738",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "12DME0964CT02",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004180593",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Cares Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina McNally
• Medical Home Care Inc.
• Jeanne Mello, BCBA
• Sarah Menichelli, MS
• Mercy Home Care of Connecticut LLC (Mercy Home Care/Mercy Cares Boutique)
• Michael Z Fein DPM PC
• Michael Z Fein DPM PC (Bethel Foot and Ankle)
• Victoria Fern Michalek, LCSW
• Milk and More Wellness PLLC
• Randy David Miller, PHARM.D.

• Prosthetic/Orthotic Supplier in Bethel, CT
• Providers in Bethel, CT by specialty
• Prosthetic/Orthotic Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.