Active NPI
Palisades Home Care
- In Home Supportive Care Agency
- Danbury, CT
National Provider Identifier
1336800333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Brewster, NY
- NPI 1881354280
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.