NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

A PROSPERING VISION HOLISTIC MEDICAL SERVICES, LLC
60 N MAIN ST
3RD FLR
WATERBURY, CT06702-1443
 Phone: 203-558-9865
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for A PROSPERING VISION HOLISTIC MEDICAL SERVICES, LLC

NPI Number 1003280157
LBN Legal business name A PROSPERING VISION HOLISTIC MEDICAL SERVICES, LLC
Authorized official ELIJAH CALDWELL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/30/2015
Last updated 11/30/2015 - About 4 years ago
Identifiers
CT Medicaid 008042640
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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