Active NPI
Lifehouse Community Care, LLC
- Home Health Agency
- Putnam, CT
National Provider Identifier
1588932529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 54539580
- Legal business name
- LIFEHOUSE COMMUNITY CARE, LLC
- Practice address
- 554 Liberty Highway Unit 2
Putnam, CT 06260 - Phone
- (860) 315-9007
- NPI assigned
- Dec 5, 2011
- Last updated
- Oct 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas N Gremo Jr.
- Title
- Ceo
- Phone
- (860) 315-9007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 54539580 | CT | Primary |
Addresses
Primary practice location
554 Liberty Highway Unit 2
Putnam, CT 06260
Mailing address
PO Box 135
Dayville, CT 06241-0135
Phone (860) 315-9007
National Provider Directory
National Provider DirectoryLocations
554 Liberty Hwy
Ste 2
Putnam, CT 06260
Phone (860) 315-9007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350000000000",
"number": "1588932529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 135",
"city": "DAYVILLE",
"state": "CT",
"postal_code": "062410135",
"telephone_number": "860-315-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 LIBERTY HIGHWAY UNIT 2",
"city": "PUTNAM",
"state": "CT",
"postal_code": "06260",
"telephone_number": "860-315-9007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEHOUSE COMMUNITY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-05",
"last_updated": "2012-10-12",
"status": "A",
"authorized_official_last_name": "GREMO",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "860-315-9007",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CT",
"license": "54539580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.