Sylcom Angelscare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

0001295 Issued in CT

Legal business name

SYLCOM ANGELSCARE LLC

Practice address

1204 Main Street #241
Branford, CT 06405

Phone

(203) 496-5717

NPI assigned

Jun 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ora Matthew

Title

Manager

Phone

(646) 247-7018

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255860516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MAIN ST # 241",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053787",
            "telephone_number": "203-496-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MAIN STREET #241",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "06405",
            "telephone_number": "203-496-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLCOM ANGELSCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "ORA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-247-7018"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CT",
            "license": "0001295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NUMBER",
            "identifier": "0005843347",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Sullivan, MS, NCC, LPC
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• Rajula Tandon, D.D.S.

• In Home Supportive Care Agency in Branford, CT
• Providers in Branford, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.