MEDICARE: E&S HOME CARE SOLUTIONS 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	251J00000X	Nursing Care Agency	HP0143900	NJ
2	251E00000X	Home Health Agency	HP0143900	NJ

General Provider Information

NPI Number	:	1578842860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E&S HOME CARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4081 HADLEY RD STE A
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-1114
Country	:	US
Telephone Number	:	732-668-6636
Fax Number	:	732-343-6878

Provider Business Practice Location Address
First Line	:	4081 HADLEY RD STE A
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-1114
Country	:	US
Telephone Number	:	908-222-8494
Fax Number	:	732-343-6878

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MRS. ELENA NEPOKRYTYKH
Credential	:
Telephone Number	:	732-668-6636

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	07/25/2022

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