Organization Active NPI

Prospect Echn Home Health, Inc.

  • Public Health or Welfare Agency
  • Vernon, CT
National Provider Identifier
1487001715
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PROSPECT ECHN HOME HEALTH, INC.
Practice address
8 Keynote Dr
Vernon, CT 06066-5040
Phone
(860) 872-9163
Fax
(860) 872-3030
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Robert Jon Elders
Title
Secretary
Phone
(714) 788-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

8 Keynote Dr
Vernon, CT 06066-5040

Mailing address

8 Keynote Dr
Vernon, CT 06066-5040
Phone (860) 872-9163

Other names 1

  • mass immunication flu clinic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1487001715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KEYNOTE DR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665040",
            "telephone_number": "860-872-9163",
            "fax_number": "860-872-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KEYNOTE DR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665040",
            "telephone_number": "860-872-9163",
            "fax_number": "860-872-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT ECHN HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-788-1249"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mass immunication flu clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "mass immunication flu clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.