Organization Active NPI

001Care Inc

  • In Home Supportive Care Agency
  • Avon, CT
National Provider Identifier
1265053391
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
001CARE INC
Practice address
20 Tower Lane
Avon, CT 06001
Phone
(214) 450-2340
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Mrs. Wilda Young
Title
Owner
Phone
(214) 450-2340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

20 Tower Lane
Avon, CT 06001

Mailing address

304 W Main St Ste 2-1052
Avon, CT 06001-4355
Phone (214) 450-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220608002213 CT Part B Supplier - Independent Clinical Laboratory 0446638118 Practice locations: Manchester, CT

National Provider Directory

National Provider Directory

Locations

304 W Main St
Ste 21052
Avon, CT 06001

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1265053391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W MAIN ST STE 2-1052",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014355",
            "telephone_number": "214-450-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWER LANE",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "214-450-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "001CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-450-2340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.