Active NPI
Addie Delois Kimbrough
- Adult Companion
- North Haven, CT
National Provider Identifier
1407016199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- HCA.0000233
- Practice address
- 1298 Hartford Tpke
10D
North Haven, CT 06473-2175 - Phone
- (203) 287-5439
- Fax
- (203) 287-8793
- NPI assigned
- Jun 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | HCA.0000233 | CT | Primary |
Addresses
Primary practice location
1298 Hartford Tpke
10D
North Haven, CT 06473-2175
Mailing address
1298 Hartford Tpke
10D
North Haven, CT 06473-2175
Phone (203) 287-5439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCA.0000233 | CT | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D and M Comfort and Care, LLC | Adult Companion | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Companion
- North Haven, CT
- NPI 1396931671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1407016199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1298 HARTFORD TPKE",
"address_2": "10D",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732175",
"telephone_number": "203-287-5439",
"fax_number": "203-287-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1298 HARTFORD TPKE",
"address_2": "10D",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732175",
"telephone_number": "203-287-5439",
"fax_number": "203-287-8793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBROUGH",
"first_name": "ADDIE",
"middle_name": "DELOIS",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "CT",
"license": "HCA.0000233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.