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Contact Information

PETALS PERSONAL HOMECARE AGENCY LLC
21 WOOD TER
BRIDGEPORT, CT06604-2432
 Phone: 929-944-5908
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
 

Adult Companion

372600000X
 

Home Health Aide

374U00000X
 

Nurse's Aide

376K00000X
Indicates primary specialty

NPI Profile & details for PETALS PERSONAL HOMECARE AGENCY LLC

NPI Number 1699625244
LBN Legal business name PETALS PERSONAL HOMECARE AGENCY LLC
Authorized official PETA-GAY SIMMONDS-CARROO - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2026
Last updated 02/02/2026 - About 4 months ago
Identifiers n/a
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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