Provider Demographics
NPI:1669018784
Name:HOMECAREGIVERS LLC
Entity Type:Organization
Organization Name:HOMECAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:GAUTAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOGINENI
Authorized Official - Suffix:
Authorized Official - Credentials:ACSAH CSCM
Authorized Official - Phone:848-420-0131
Mailing Address - Street 1:1521 OLD TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3414
Mailing Address - Country:US
Mailing Address - Phone:866-222-7344
Mailing Address - Fax:609-482-8400
Practice Address - Street 1:1521 OLD TRENTON RD
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550-3414
Practice Address - Country:US
Practice Address - Phone:866-222-7344
Practice Address - Fax:609-482-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-24
Last Update Date:2019-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care