Healthcare Provider Details

I. General information

NPI: 1053807743
Provider Name (Legal Business Name): HOME CARE NETWORKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 PARK AVE STE 213
CRANSTON RI
02910-3227
US

IV. Provider business mailing address

1020 PARK AVE STE 213
CRANSTON RI
02910-3227
US

V. Phone/Fax

Practice location:
  • Phone: 401-351-5358
  • Fax:
Mailing address:
  • Phone: 401-351-5358
  • Fax: 401-633-7669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHCP02473
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberHCP02473
License Number StateRI

VIII. Authorized Official

Name: KELECHI AGWUNOBI
Title or Position: ADMINISTRATOR
Credential:
Phone: 401-481-6107