Organization Active NPI

Concrete Home Healthcare Solutions LLC

  • Home Health Agency
  • Hartford, CT
National Provider Identifier
1689262792
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CONCRETE HOME HEALTHCARE SOLUTIONS LLC
Practice address
100 Pearl St FL 14
Hartford, CT 06103-4500
Phone
(860) 718-5061
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Ifeyinwa LeonardNPI 1457998502
Title
Owner/VP/Alt Administrator
Phone
(860) 718-5061

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

100 Pearl St FL 14
Hartford, CT 06103-4500

Mailing address

46 Stonegate Rd
New Britain, CT 06053-2649
Phone (860) 718-5061

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2338659Concrete Home Healthcare Solutions LLC100 Pearl Street, 14TH Floor, Suite 1410, Hartford, CT 06103Certificate of waiverFeb 12, 2028

National Provider Directory

National Provider Directory

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

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": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1689262792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 STONEGATE RD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532649",
            "telephone_number": "860-718-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEARL ST FL 14",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061034500",
            "telephone_number": "860-718-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCRETE HOME HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "IFEYINWA",
        "authorized_official_title_or_position": "OWNER/VP/ALT ADMINISTRATOR",
        "authorized_official_telephone_number": "860-718-5061"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.