Healthcare Provider Details

I. General information

NPI: 1477139608
Provider Name (Legal Business Name): HOME CARE FOR YOU, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 SUMMIT AVE STE D
JERSEY CITY NJ
07306-3711
US

IV. Provider business mailing address

627 SUMMIT AVE STE D
JERSEY CITY NJ
07306-3711
US

V. Phone/Fax

Practice location:
  • Phone: 201-610-1011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIYA RUDINSKAYA
Title or Position: ADMINISTRATOR
Credential:
Phone: 609-971-9009