Individual provider Active NPI

Erika Mireya Chiluisa

  • Homemaker
  • Bridgeport, CT
National Provider Identifier
1205490489
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
HCA.0001486 Issued in CT
Practice address
136 Savoy St
Bridgeport, CT 06606-4116
Phone
(203) 549-8045
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCA.0001486 CT
Homemaker 376J00000X HCA.0001486 CT Primary

Addresses

Primary practice location

136 Savoy St
Bridgeport, CT 06606-4116

Mailing address

136 Savoy St
Bridgeport, CT 06606-4116
Phone (203) 549-8045

Other practice location 1

136 Savoy St
Bridgeport, CT 06606-4116
Phone (203) 549-8045

Other identifiers 1

IdentifierTypeStateIssuer
HCA.0001486OtherCTHOMECARE AGENCY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erika@erikashomecare.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

LicenseStateTypeSpecialty
HCA.0001486CTMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1205490489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SAVOY ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064116",
            "telephone_number": "203-549-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SAVOY ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064116",
            "telephone_number": "203-549-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Savoy St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066064116",
            "country_code": "US",
            "telephone_number": "203-549-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILUISA",
        "first_name": "ERIKA",
        "middle_name": "MIREYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "HCA.0001486",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "CT",
            "license": "HCA.0001486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMECARE AGENCY",
            "identifier": "HCA.0001486",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erika@erikashomecare.com",
            "affiliation": "N",
            "address_1": "136 Savoy St",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066064116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 11, 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.

Verify at the official NPI Registry.