A1 Husky Mart LLC Dba Good Faith Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A1 HUSKY MART LLC DBA GOOD FAITH CARE INC.

Practice address

786 Silas Deane Hwy
Wethersfield, CT 06109-3071

Phone

(860) 785-8162

NPI assigned

Jan 27, 2021

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mallika Budhai

Title

Manager

Phone

(860) 785-8162

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kwadwo A Yeboah

  • Home Health Aide
  • Wethersfield, CT
  • NPI 1982292090
  NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1407447105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093071",
            "telephone_number": "860-785-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093071",
            "telephone_number": "860-785-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 HUSKY MART LLC DBA GOOD FAITH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "BUDHAI",
        "authorized_official_first_name": "MALLIKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-785-8162"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "019308923",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Wethersfield, CT
• Providers in Wethersfield, 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 Dec 27, 2021; 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.