Provider Demographics
NPI:1407932056
Name:HOME CARE PLUS INC
Entity Type:Organization
Organization Name:HOME CARE PLUS INC
Other - Org Name:HOME CARE PLUS INC
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 1:500 BIC DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461-1777
Mailing Address - Country:US
Mailing Address - Phone:203-874-8414
Mailing Address - Fax:203-874-4306
Practice Address - Street 1:500 BIC DR STE 200
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-1777
Practice Address - Country:US
Practice Address - Phone:203-301-7112
Practice Address - Fax:203-874-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC821083251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4051926Medicaid
632XZOtherBLUE CROSS
0V9993OtherHEALTHNET
632XZOtherBLUE CROSS