Provider Demographics
NPI:1679901953
Name:MASTERS IN HOME CARE, LLC
Entity type:Organization
Organization Name:MASTERS IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:PANKRATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-265-4427
Mailing Address - Street 1:40 COLD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3101
Mailing Address - Country:US
Mailing Address - Phone:860-265-4427
Mailing Address - Fax:860-239-1248
Practice Address - Street 1:40 COLD SPRING RD
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067
Practice Address - Country:US
Practice Address - Phone:860-265-4427
Practice Address - Fax:860-239-1248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008056238Medicaid
CT9915734OtherCT DPH HOME HEALTH CARE AGENCY LICENSE