=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639026263
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME CARE CONNECT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/12/2026
-----------------------------------------------------
Last Update Date | 03/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10015 QUEENS BLVD STE 203
-----------------------------------------------------
City | FOREST HILLS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11375-2465
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-310-5911
-----------------------------------------------------
Fax | 332-334-1330
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 37065
-----------------------------------------------------
City | ELMONT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11003-7065
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-310-5911
-----------------------------------------------------
Fax | 332-334-1330
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | CLINT L GEORGES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 516-310-5911
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------