Organization Active NPI

Palisades Home Care

  • In Home Supportive Care Agency
  • Danbury, CT
National Provider Identifier
1336800333
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PALISADES HOME CARE
Practice address
1 Padanaram Rd
Ste 148
Danbury, CT 06811
Phone
(203) 678-3005
Fax
(203) 300-5076
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Mr. Daryn E Clark
Title
Owner - Manager
Phone
(203) 678-3005

Specialties & licenses 1

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

Addresses

Primary practice location

1 Padanaram Rd
Ste 148
Danbury, CT 06811

Mailing address

1 Padanaram Rd
Ste 148
Danbury, CT 06811
Phone (203) 678-3005

National Provider Directory

National Provider Directory
Tax ID family
Civility Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Padanaram Rd
Ste 148
Danbury, CT 06811
Phone (203) 678-3005

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1336800333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PADANARAM RD",
            "address_2": "STE 148",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06811",
            "telephone_number": "203-678-3005",
            "fax_number": "203-300-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PADANARAM RD",
            "address_2": "STE 148",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06811",
            "telephone_number": "203-678-3005",
            "fax_number": "203-300-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DARYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER - MANAGER",
        "authorized_official_telephone_number": "203-678-3005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.