Brenda Harris

Individual provider Active NPI Adult Companion · East Windsor, CT

NPI 1487979787 · NPPES record last updated Mar 30, 2010

Key facts

NPI
1487979787
Entity type
Individual (NPI type 1)
Primary specialty
Adult Companion 372600000X
License
HCA0000429 (CT)
Practice address
6 Maple St
East Windsor, CT 06088-9649
Phone
(860) 758-7267
Fax
(860) 758-7267
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HCA0000429CTMDAdult Companion
HCA 0000429CTMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X HCA 0000429 CT
Adult Companion 372600000X HCA0000429 CT Yes
Home Health Aide 374U00000X HCA 0000429 CT
Homemaker 376J00000X HCA 0000429 CT
Nurse's Aide 376K00000X HCA 0000429 CT

Addresses

Primary practice location

6 Maple St
East Windsor, CT 06088-9649

Mailing address

PO Box 102
East Windsor, CT 06088-0102
Phone (860) 758-7267

Other providers in East Windsor, CT

All providers in East Windsor, CT · Adult Companion in Connecticut

Sources for this page

Verify at the official NPI Registry.