Organization Active NPI

Our Family Home Healthcare

  • Home Health Agency
  • Bridgeport, CT
National Provider Identifier
1255837621
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OUR FAMILY HOME HEALTHCARE
Practice address
330 Granfield Ave
Bridgeport, CT 06610-2305
Phone
(203) 916-9020
NPI assigned
Apr 3, 2018
Organization subpart
Yes
Parent organization
CONNECTICUT HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Shaquille Henry
Title
Owner
Phone
(203) 908-5641

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

330 Granfield Ave
Bridgeport, CT 06610-2305

Mailing address

435 S 5TH Ave
Mount Vernon, NY 10550-4417

Other names 2

  • Connecticut Health Care Agency Former legal business name
  • Connecticut Healthcare Former legal business name

National Provider Directory

National Provider Directory
Part of
Our Family Home Healthcare

Locations

330 Granfield Ave
Bridgeport, CT 06610
Phone (203) 916-9020

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1255837621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S 5TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GRANFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102305",
            "telephone_number": "203-916-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FAMILY HOME HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONNECTICUT HEALTHCARE",
        "enumeration_date": "2018-04-03",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SHAQUILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-908-5641"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Health Care Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Connecticut Healthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 24, 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.