Provider Demographics
NPI:1508227828
Name:HOME CARE FOR YOU, INC.
Entity Type:Organization
Organization Name:HOME CARE FOR YOU, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDINSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-758-8688
Mailing Address - Street 1:444 59TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-2230
Mailing Address - Country:US
Mailing Address - Phone:201-758-8688
Mailing Address - Fax:
Practice Address - Street 1:440 60TH ST
Practice Address - Street 2:SUITE 102-104
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-2230
Practice Address - Country:US
Practice Address - Phone:201-758-8685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP00226400251E00000X, 251E00000X
251G00000X, 251J00000X, 251S00000X, 251C00000X
NJHP0226400253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0502316Medicaid