Panda Home Care Agency Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PANDA HOME CARE AGENCY INC.

Practice address

3011 Main Street
Glastonbury, CT 06033-1029

Phone

(860) 633-5907

Fax

(860) 633-3904

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John J. Cassandra Jr.

Title

Vice President

Phone

(860) 633-5907

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1487872792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 MAIN STREET",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331029",
            "telephone_number": "860-633-5907",
            "fax_number": "860-633-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 MAIN STREET",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331029",
            "telephone_number": "860-633-5907",
            "fax_number": "860-633-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA HOME CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "CASSANDRA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-633-5907",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "HCA.0000123",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT. HOME CARE PROGRAM",
            "identifier": "4093572",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPART OF CONSUMER PROTEC",
            "identifier": "HCA.0000123",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon R Packer, PA-C
• Frank Edward Page, RPH
• Mark Joseph Palmieri, PSY.D., BCBA-D
• Mary Elizabeth Palo, BCBA,LBA
• Kelly Panas, PH.D.
• Christopher Joseph Papa, PHARMD
• Sarah Papale
• Pavlos K Papasavas, M.D.
• Thona M Pappas, L.C.S.W.
• Lawrence M Pareles, M.D.

• In Home Supportive Care Agency in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.