Organization Active NPI

Professional Home Care

  • Home Health Agency
  • New Haven, CT
National Provider Identifier
1669634754
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROFESSIONAL HOME CARE
Practice address
713 George St Ste 2
New Haven, CT 06511-5207
Phone
(203) 494-3916
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Athena Jenkins, LCSW/RNNPI 1447428578
Title
President
Phone
(203) 494-3916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

713 George St Ste 2
New Haven, CT 06511-5207

Mailing address

6 Lake CT
Hamden, CT 06517-2307
Phone (203) 494-3916

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1669634754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LAKE CT",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172307",
            "telephone_number": "203-494-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 GEORGE ST STE 2",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115207",
            "telephone_number": "203-494-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-494-3916",
        "authorized_official_credential": "LCSW/RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.