Lifetime Autistic Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCA.0000759 Issued in CT

Legal business name

LIFETIME AUTISTIC HOMECARE, LLC

Practice address

54 Wells Ave
Hartford, CT 06108-2269

Phone

(860) 794-9731

NPI assigned

May 3, 2013

Last updated

May 3, 2013By 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

Latoya E Clayton

Title

Vice President

Phone

(860) 794-9731

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1568807519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WELLS AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061082269",
            "telephone_number": "860-794-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WELLS AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061082269",
            "telephone_number": "860-794-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME AUTISTIC HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-794-9731"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CT",
            "license": "HCA.0000759",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CT",
            "license": "HCA.0000759",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CT",
            "license": "HCA.0000759",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "CT",
            "license": "HCA.0000759",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CT",
            "license": "HCA.0000759",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "HCA.0000759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.