Provider Demographics
NPI:1043217482
Name:HOME CARE PLUS INC
Entity Type:Organization
Organization Name:HOME CARE PLUS INC
Other - Org Name:HOME CARE PLUS SOUTH CENTRAL CONNECTICUT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBBONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:475-254-2177
Mailing Address - Street 1:1 LONG WHARF DRIVE
Mailing Address - Street 2:SUITE 501
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:203-777-5521
Mailing Address - Fax:203-859-6757
Practice Address - Street 1:1 LONG WHARF DRIVE
Practice Address - Street 2:SUITE 501
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-777-5521
Practice Address - Fax:203-859-6757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC8024251E00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004042503Medicaid
CT004073870Medicaid
CT004073870Medicaid