Tanya Maria Collazo
In Home Supportive Care in Bridgeport, CT. Individual provider (NPI-1).
NPI number1508326323
StatusActive
Last updated in NPPESMar 20, 2019
Details
- NPI
- 1508326323
- Entity type
- Individual (NPI-1)
- Name
- Tanya Maria Collazo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2019
- Last updated
- Mar 20, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | HCA.0001351 | CT | Yes |
Practice location
32 3rd StBridgeport, CT 06607-1068
Phone 203-685-0821 · Fax 203-916-7009
Mailing address
32 3rd StBridgeport, CT 06607-1068
Phone 203-685-0821 · Fax 203-916-7009
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.
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All 25 In Home Supportive Care Agency providers in Bridgeport · All 3,629 providers in Bridgeport
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