MEDICARE: PG HOME CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1326994914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PG HOME CARE INC

Provider Business Mailing Address
First Line	:	2675 DELCANE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-7217
Country	:	US
Telephone Number	:	917-569-4932
Fax Number	:	877-497-5030

Provider Business Practice Location Address
First Line	:	2675 DELCANE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-7217
Country	:	US
Telephone Number	:	917-569-4932
Fax Number	:	877-497-5030

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	PARTAH S GUPTA
Credential	:
Telephone Number	:	917-569-4932

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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