HOME CARE SERVICES, INC.

Provider Demographics

• NPI: 1497977748
• Name: HOME CARE SERVICES, INC.
• Entity Type: Organization
• Organization Name: HOME CARE SERVICES, INC.
• Other - Org Name: KABAFUSION NJ
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - Prefix: DR
• Authorized Official - First Name: SOHAIL
• Authorized Official - Last Name: MASOOD
• Authorized Official - Credentials: PHARMD
• Authorized Official - Phone: 800-435-3020
• Mailing Address - Street 1: 17777 CENTER COURT DR N
• Mailing Address - Street 2: SUITE 550
• Mailing Address - City: CERRITOS
• Mailing Address - State: CA
• Mailing Address - Zip Code: 90703-9320
• Mailing Address - Country: US
• Mailing Address - Phone: 800-435-3020
• Mailing Address - Fax: 562-645-5396
• Practice Address - Street 1: 160 RARITAN CENTER PKWY
• Practice Address - Street 2: STE 18
• Practice Address - City: EDISON
• Practice Address - State: NJ
• Practice Address - Zip Code: 08837-3637
• Practice Address - Country: US
• Practice Address - Phone: 732-906-9201
• Practice Address - Fax: 800-915-3423
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-05-03
• Last Update Date: 2024-03-01

Provider Licenses

State	License ID	Taxonomies
		332B00000X, 332BP3500X, 333600000X, 3336C0003X, 3336C0004X, 3336H0001X, 3336S0011X
MI	5301009579	3336H0001X
MO	2011015286	3336H0001X
NH	NR0804	3336H0001X
IN	64001187A	3336H0001X
RI	PHN10614	3336H0001X
NJ	28RS00669700	3336H0001X
TX	27408	3336H0001X
CA	NRP1538	3336H0001X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336H0001X	Suppliers	Pharmacy	Home Infusion Therapy Pharmacy
No	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies
No	332BP3500X	Suppliers	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition
No	333600000X	Suppliers	Pharmacy
No	3336C0003X	Suppliers	Pharmacy	Community/Retail Pharmacy
No	3336C0004X	Suppliers	Pharmacy	Compounding Pharmacy
No	3336S0011X	Suppliers	Pharmacy	Specialty Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NY	03350658	Medicaid
NJ	0257681	Medicaid
PA	102715980 0001	Medicaid
NH	3101380	Medicaid
OH	0186917	Medicaid
	2127492	Other	PK
NJ	0451525	Medicaid
IL	=========001	Medicaid