Healthcare Provider Details

I. General information

NPI: 1639026263
Provider Name (Legal Business Name): HOME CARE CONNECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10015 QUEENS BLVD STE 203
FOREST HILLS NY
11375-2465
US

IV. Provider business mailing address

PO BOX 37065
ELMONT NY
11003-7065
US

V. Phone/Fax

Practice location:
  • Phone: 516-310-5911
  • Fax: 332-334-1330
Mailing address:
  • Phone: 516-310-5911
  • Fax: 332-334-1330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CLINT L GEORGES
Title or Position: CEO
Credential:
Phone: 516-310-5911