Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL PETRENKO
Deactivated Sole ProprietorDANIEL PETRENKO is a In Home Supportive Care Agency healthcare provider located in SIMSBURY, Connecticut. NPI 1861087553 is deactivated in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · SIMSBURY, CT
This NPI has been deactivated.
The record was deactivated on March 5, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1861087553
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 4, 2021 (0.0027397260273973 yrs)
- Last Updated
- May 30, 2023
- Deactivated
- Mar 5, 2021
- License
-
HCA.0001577 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
96 COUNTY RDSIMSBURY, CT, 060701245Browse CT providers · Browse ZIP 06070
- Phone
- 8602612591
- Fax
- 8602170815
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.