Provider Demographics
NPI:1184516270
Name:VIERA COMPANION AND HOMECARE SERVICES
Entity type:Organization
Organization Name:VIERA COMPANION AND HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:860-955-7179
Mailing Address - Street 1:7 N WASHINGTON ST STE 109
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-1957
Mailing Address - Country:US
Mailing Address - Phone:860-955-7179
Mailing Address - Fax:860-955-2686
Practice Address - Street 1:7 N WASHINGTON ST STE 109
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-1957
Practice Address - Country:US
Practice Address - Phone:860-955-7179
Practice Address - Fax:860-955-2686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008105939Medicaid