Authentic Health Care LLC

Organization Active NPI Home Health Agency · Bridgeport, CT

NPI 1922468560 · NPPES record last updated Feb 24, 2016

Key facts

NPI
1922468560
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HCA 0000453 (CT)
Legal business name
AUTHENTIC HEALTH CARE LLC
Practice address
361 Wayne St
Bridgeport, CT 06606-4651
Phone
(203) 549-8746
Fax
(203) 540-5569
NPI assigned
Feb 24, 2016
Organization subpart
No

Authorized official

Name
Mrs. Claudette Blake
Title
Member
Phone
(203) 549-8746

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Authentic Health Care LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCA 0000453 CT Yes

Addresses

Primary practice location

361 Wayne St
Bridgeport, CT 06606-4651

Mailing address

361 Wayne St
Bridgeport, CT 06606-4651
Phone (203) 549-8746

Other providers in Bridgeport, CT

All providers in Bridgeport, CT · Home Health Agency in Connecticut

Sources for this page

Verify at the official NPI Registry.