| Organization Name: | ATHENA HOME HEALTH LLC |
| NPI Number: | 1063810992 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E MOSIER (CFO) |
| Mailing Address: | 112 Washington Ave North Haven |
| State: | CT US |
| Postal Code: | 064731707 |
| Phone Number: | 2032349355 |
| Fax Number: | 2032340434 |
| NPI Enumeration Date: | 12/09/2014 |
| NPI Last Update Date: | 05/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |