MEDICARE: HOME CARE GIVERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1275796682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE GIVERS LLC

Provider Business Mailing Address
First Line	:	PO BOX 3846
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-9998
Country	:	US
Telephone Number	:	973-379-5055
Fax Number	:	973-379-5955

Provider Business Practice Location Address
First Line	:	100 HILLSIDE AVE
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-3006
Country	:	US
Telephone Number	:	973-379-5055
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MS. JACQUELYN SPENCER
Credential	:
Telephone Number	:	973-943-1442

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	07/07/2008

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