Organization Active NPI

Authentic Health Care LLC

  • Home Health Agency
  • Bridgeport, CT
National Provider Identifier
1346601986
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA0000453 Issued in CT
Legal business name
AUTHENTIC HEALTH CARE LLC
Practice address
335 Dexter Dr
Bridgeport, CT 06606-1305
Phone
(203) 374-3857
Fax
(203) 540-5569
NPI assigned
Mar 10, 2016
Last updated
Mar 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Mrs. Claudette Blake
Title
Member
Phone
(203) 549-8746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA0000453 CT Primary

Addresses

Primary practice location

335 Dexter Dr
Bridgeport, CT 06606-1305

Mailing address

361 Wayne Street
Bridgeport, CT 06606
Phone (203) 549-8746

National Provider Directory

National Provider Directory
Tax ID family
Authentic Health Care LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1346601986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 WAYNE STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "203-549-8746",
            "fax_number": "203-540-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 DEXTER DR",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061305",
            "telephone_number": "203-374-3857",
            "fax_number": "203-540-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-549-8746",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "HHA0000453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.