Careco Medical, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARECO MEDICAL, INC.

Practice address

398 Willetts Ave
Waterford, CT 06385-3013

Phone

(860) 437-0238

Fax

(860) 442-7657

NPI assigned

Sep 23, 2011

Organization subpart

No

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

Authorized official

Name

Helga Pfanner

Title

Owner

Phone

(860) 437-0238

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356624613. Details of each certification follow.

• CCN 077269 Home health agency · Active · Details

Home health agency certification: CCN 077269

Legal name

CARECO MEDICAL, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 10, 2016

Last certification

Mar 10, 2016

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 2, 2011 in CT

Enrollment address

398 Willetts Ave
Waterford, CT 06385-3013
HHA Branch

Listed as

Careco Medical IncCCN 077269 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Mar 10, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1356624613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 WILLETTS AVE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063853013",
            "telephone_number": "860-437-0238",
            "fax_number": "860-442-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 WILLETTS AVE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063853013",
            "telephone_number": "860-437-0238",
            "fax_number": "860-442-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECO MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "PFANNER",
        "authorized_official_first_name": "HELGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-437-0238"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008067735",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Waterford, CT
• Providers in Waterford, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.