MEDICARE: GREAT DIRECT 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	:	1497554000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT DIRECT CARE INC

Provider Business Mailing Address
First Line	:	4 SCOTT DR
Second Line	:
City	:	MONROE
State	:	NJ
Zip	:	08831-3543
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6671 SOUTHWEST FWY STE 700
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2220
Country	:	US
Telephone Number	:	732-429-2150
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RUSHIK PATEL
Credential	:
Telephone Number	:	732-729-2150

Provider Enumeration Date	:	03/08/2025
Last Update Date	:	11/10/2025

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