Healthcare Provider Details

I. General information

NPI: 1891668992
Provider Name (Legal Business Name): NCG HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4307 DEL PRADO BLVD S # 5
CAPE CORAL FL
33904-6110
US

IV. Provider business mailing address

10300 SW 72ND ST STE 470A
MIAMI FL
33173-3028
US

V. Phone/Fax

Practice location:
  • Phone: 239-537-2191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NACHUSKY CHON
Title or Position: CEO
Credential:
Phone: 239-537-2191