Organization Active NPI

Affectionate Home Care Inc.

  • Personal Care Attendant
  • Bristol, CT
National Provider Identifier
1851017016
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
AFFECTIONATE HOME CARE INC.
Practice address
13 Melville St
Bristol, CT 06010-6408
Phone
(203) 808-1309
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Mr. Mark Kwablah Buku
Title
President
Phone
(203) 808-1309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

13 Melville St
Bristol, CT 06010-6408

Mailing address

13 Melville St
Bristol, CT 06010-6408
Phone (203) 808-1309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1851017016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MELVILLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106408",
            "telephone_number": "203-808-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MELVILLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106408",
            "telephone_number": "203-808-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFECTIONATE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "BUKU",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KWABLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-808-1309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.