OrganizationActive
Connecticut Provider of Home Care L.L.C.
NPI 1124488432 · PACE Provider Organization · Bethel, CT
Provider details
- NPI number
- 1124488432
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Authorized official
- Daryn Clark, Manager
Practice location
208 Greenwood Ave
Unit 10
Bethel, CT 06801-2130
Phone: (203) 792-2273
Fax: (203) 826-7887
Mailing address
208 Greenwood Ave
Bethel, CT 06801-2130
Registry dates
- Enumerated
- 2016-02-29
- Last updated
- 2021-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.