Healthcare Provider Details

I. General information

NPI: 1578842860
Provider Name (Legal Business Name): E&S HOME CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2011
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4081 HADLEY RD STE A
SOUTH PLAINFIELD NJ
07080-1114
US

IV. Provider business mailing address

4081 HADLEY RD STE A
SOUTH PLAINFIELD NJ
07080-1114
US

V. Phone/Fax

Practice location:
  • Phone: 908-222-8494
  • Fax: 732-343-6878
Mailing address:
  • Phone: 732-668-6636
  • Fax: 732-343-6878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0143900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHP0143900
License Number StateNJ

VIII. Authorized Official

Name: MRS. ELENA NEPOKRYTYKH
Title or Position: GENERAL MANAGER
Credential:
Phone: 732-668-6636