Individual provider Active NPI

Meschac Hercules

  • In Home Supportive Care Agency
  • Hartford, CT
National Provider Identifier
1639591043
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0000815 Issued in CT
Practice address
33 Sargeant St
Hartford, CT 06105-1450
Phone
(781) 420-3294
NPI assigned
Jan 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0000815 CT Primary

Addresses

Primary practice location

33 Sargeant St
Hartford, CT 06105-1450

Mailing address

33 Sargeant St
Hartford, CT 06105-1450

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000815CTMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1639591043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SARGEANT ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SARGEANT ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051450",
            "telephone_number": "781-420-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCULES",
        "first_name": "MESCHAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CT",
            "license": "0000815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.