Active NPI
001Care Inc
- In Home Supportive Care Agency
- Avon, CT
National Provider Identifier
1265053391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220608002213 | CT | Part B Supplier - Independent Clinical Laboratory | 0446638118 | Practice locations: Manchester, CT |
National Provider Directory
National Provider DirectoryLocations
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.