MEDICARE: PRACTICE HOME CARE SERVICES 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	NP0073500	NJ
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1669984381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRACTICE HOME CARE SERVICES INC

Provider Business Mailing Address
First Line	:	1578 US HIGHWAY 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	609-423-1200
Fax Number	:	877-560-6873

Provider Business Practice Location Address
First Line	:	1578 US HIGHWAY 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	609-423-1200
Fax Number	:	877-560-6873

Authorized Official
Title or Position	:	OWNER
Name	:	NINA TURNER
Credential	:
Telephone Number	:	609-670-8813

Provider Enumeration Date	:	11/03/2017
Last Update Date	:	04/17/2026

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