Connecticut Handivan, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

2601 Issued in CT

Legal business name

CONNECTICUT HANDIVAN, INC.

Practice address

208 Quinnipiac Ave
North Haven, CT 06473-3626

Phone

(203) 562-1760

NPI assigned

Jan 25, 2008

Last updated

Jan 25, 2008By 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

Mark J Panico, MBA

Title

Vice President

Phone

(203) 562-1760

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1639356298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 QUINNIPIAC AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733626",
            "telephone_number": "203-562-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 QUINNIPIAC AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733626",
            "telephone_number": "203-562-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT HANDIVAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "PANICO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-562-1760",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CT",
            "license": "2601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in North Haven, CT
• Providers in North Haven, CT by specialty
• Non-emergency Medical Transport (VAN) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.