Organization Active NPI

Patient'S Choice Homecare, LLC

  • Home Health Agency
  • Wethersfield, CT
National Provider Identifier
1336178474
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PATIENT'S CHOICE HOMECARE, LLC
Practice address
370 Silas Deane Highway
Wethersfield, CT 06109-2104
Phone
(860) 561-0599
Fax
(860) 561-0394
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Mr. Patrick Todd Lyles
Title
Sr. VP of Administration
Phone
(502) 891-1000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0012 CT
Home Health Agency 251E00000X CT Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X CT

Addresses

Primary practice location

370 Silas Deane Highway
Wethersfield, CT 06109-2104

Mailing address

346 Delaware Ave
Buffalo, NY 14202-1804
Phone (716) 856-7500

Other identifiers 1

IdentifierTypeStateIssuer
004238962MedicaidCT

Other names 1

  • WILLCARE Doing business as

National Provider Directory

National Provider Directory

Locations

414 Chapel St
Ste E1
New Haven, CT 06511
Phone (203) 624-4222

943 Grand Ave
New Haven, CT 06511
Phone (203) 624-4222

91 Schraffts Dr
Ste 7
Waterbury, CT 06705
Phone (203) 753-0599

433 S Main St
Ste 118
West Hartford, CT 06110
Phone (860) 561-0599

1105 New Britain Ave
West Hartford, CT 06110
Phone (860) 236-4222

370 Silas Deane Hwy
Wethersfield, CT 06109
Phone (203) 624-4222

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1336178474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021804",
            "telephone_number": "716-856-7500",
            "fax_number": "716-856-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SILAS DEANE HIGHWAY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092104",
            "telephone_number": "860-561-0599",
            "fax_number": "860-561-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT'S CHOICE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "SR. VP OF ADMINISTRATION",
        "authorized_official_telephone_number": "502-891-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "0012",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004238962",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.