Organization Active NPI

Humana at Home, Inc.

  • In Home Supportive Care Agency
  • Fairfield, CT
National Provider Identifier
1790064178
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HHC9915705 Issued in CT
Legal business name
HUMANA AT HOME, INC.
Practice address
2150 Post Rd Ste 304
Fairfield, CT 06824-5669
Phone
(203) 318-8445
NPI assigned
Aug 16, 2011
Organization subpart
Yes
Parent organization
HUMANA INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dorothy Burns
Title
Director, Clinical Quality
Phone
(321) 258-7709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X HHC9915705 CT Primary

Addresses

Primary practice location

2150 Post Rd Ste 304
Fairfield, CT 06824-5669

Mailing address

845 3Rd Ave
7TH Floor
New York, NY 10022-6601
Phone (212) 994-6100

National Provider Directory

National Provider Directory
Tax ID family
Humana at Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2150 Post Rd
Ste 304
Fairfield, CT 06824
Phone (203) 318-8445

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1790064178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 3RD AVE",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226601",
            "telephone_number": "212-994-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 POST RD STE 304",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245669",
            "telephone_number": "203-318-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANA AT HOME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMANA INC.",
        "enumeration_date": "2011-08-16",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL QUALITY",
        "authorized_official_telephone_number": "321-258-7709"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CT",
            "license": "HHC9915705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.