Healthcare Provider Details

I. General information

NPI: 1235072547
Provider Name (Legal Business Name): HOMECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST STE N
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

106 KRAMER DR
LINDENHURST NY
11757-5406
US

V. Phone/Fax

Practice location:
  • Phone: 347-475-8724
  • Fax: 347-426-9819
Mailing address:
  • Phone: 347-475-8724
  • Fax: 347-426-9819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES E OMOZORE
Title or Position: OWNER
Credential: TRANSPORTATION
Phone: 347-475-8724