Provider Demographics
NPI:1174392187
Name:FELICITY HOME CARE AGENCY
Entity type:Organization
Organization Name:FELICITY HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OTHNIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAFINICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-570-7393
Mailing Address - Street 1:12 LEEDS ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-5203
Mailing Address - Country:US
Mailing Address - Phone:203-570-7393
Mailing Address - Fax:
Practice Address - Street 1:12 LEEDS ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-5203
Practice Address - Country:US
Practice Address - Phone:203-570-7393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty