Wcfa Inc. Dba Synergy Homecare of East Haven

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WCFA INC. DBA SYNERGY HOMECARE OF EAST HAVEN

Practice address

152 Saltonstall Pkwy Unit B
East Haven, CT 06512-2329

Phone

(203) 691-5071

Fax

(203) 594-8587

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Gordon A Wall

Title

President

Phone

(203) 691-5071

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1851853360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SALTONSTALL PKWY UNIT B",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122329",
            "telephone_number": "203-691-5071",
            "fax_number": "203-594-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SALTONSTALL PKWY UNIT B",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122329",
            "telephone_number": "203-691-5071",
            "fax_number": "203-594-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCFA INC. DBA SYNERGY HOMECARE OF EAST HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-691-5071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER COMPANION REGISTRATION",
            "identifier": "HCA.0001043",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gordonwall@synergyhomecare.com",
            "affiliation": "N",
            "endpointDescription": "business e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "152 Saltonstall Pkwy Unit B",
            "city": "East Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065122329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• In Home Supportive Care Agency in East Haven, CT
• Providers in East Haven, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.