National Provider Identifier Database

INTERIM HEALTHCARE OF NORTH HAVEN INC
Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.


Contact Information

INTERIM HEALTHCARE OF NORTH HAVEN, INC.
278 STATE ST
NORTH HAVEN, CT06473-2154
Phone: 203-230-4785
Fax: 203-230-4791
Website:
Specialty Taxonomy Code
* Home Health 251E00000X
Home Delivered Meals 332U00000X

* Indicates primary specialty

NPI Profile & details for INTERIM HEALTHCARE OF NORTH HAVEN, INC.

NPI Number 1528047768
Legal business name
LBN
INTERIM HEALTHCARE OF NORTH HAVEN, INC.
Authorized official ERIC PETERSEN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/16/2006
Last updated 07/13/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 0006
  • CT Medicaid: 004221545
  • CT Medicaid: 004222759

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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