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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 Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Delivered Meals

332U00000X 87 All Other Suppliers
Indicates primary specialty

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

NPI # 1528047768
LBN Legal business name INTERIM HEALTHCARE OF NORTH HAVEN, INC.
Authorized official ERIC PETERSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2006
Last updated 07/13/2007 - About 19 years ago
Identifiers
CT License # 0006
CT Medicaid 004221545
CT Medicaid 004222759
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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