NPI 1922470772

Purple Hearts Home Care LLC

Organisation Exclusive Provider Organization Windsor, CT

Practice location

Address: 360 Bloomfield Ave Suite 301, Windsor, CT 06095-2700
Phone: (860) 819-8954
Mailing address: 360 Bloomfield Ave, Windsor, CT 06095-2700

Authorised official

Name: Samuel Twumasi
Title: Manager
Phone: (860) 310-5553

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1180737 (CT)

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Registry record

NPI: 1922470772
Entity type: Organization
NPI issued: 20 Oct 2015
Record last updated: 20 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.