Organization · NPI-2

Life Choice Hospice Of Connecticut LLC

Family Medicine, Hospice and Palliative Medicine · Milford, CT

NPI number1457949208

StatusActive

Last updated in NPPESJan 7, 2021

Details

NPI: 1457949208
Entity type: Organization (NPI-2)
Legal business name: Life Choice Hospice Of Connecticut LLC
Organization subpart: No
Enumeration date: Jan 7, 2021
Certification date: Jan 7, 2021
Last updated: Jan 7, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207QH0002X	Family Medicine, Hospice and Palliative Medicine	–	–	Yes
207RH0002X	Internal Medicine, Hospice and Palliative Medicine	–	–
363LF0000X	Nurse Practitioner, Family	–	–

Other names

Compassus - Greater Connecticut (Doing Business As)

Practice location

612 Wheelers Farms Rd Ste 103
Milford, CT 06461-1673

Phone 203-301-0489 · Fax 203-301-0632

Mailing address

10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001

Phone 615-377-7022 · Fax 615-373-4457

Other practice locations

100 Corporate Pl Ste 205
Rocky Hill, CT 06067-1803

Phone 860-856-5994 · Fax 866-955-8536

Authorized official

Russell Adkins
Svp Chief Legal Officer
6153095668

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.