Active NPI
Patient'S Choice Homecare, LLC
- Home Health Agency
- Wethersfield, CT
National Provider Identifier
1336178474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0012 | CT | |
| Home Health Agency | 251E00000X | CT | Primary | |
| Homemaker | 376J00000X | |||
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004238962 | Medicaid | CT |
Other names 1
- WILLCARE
National Provider Directory
National Provider DirectoryLocations
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.