Provider Demographics
NPI:1760463897
Name:HOMECARE USA, INC.
Entity Type:Organization
Organization Name:HOMECARE USA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:D
Authorized Official - Last Name:CECERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-491-9111
Mailing Address - Street 1:118 LAMAR STREET
Mailing Address - Street 2:UNIT B
Mailing Address - City:W BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-1321
Mailing Address - Country:US
Mailing Address - Phone:631-491-9111
Mailing Address - Fax:631-491-9112
Practice Address - Street 1:118 LAMAR STREET
Practice Address - Street 2:UNIT B
Practice Address - City:W BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-1321
Practice Address - Country:US
Practice Address - Phone:631-491-9111
Practice Address - Fax:631-491-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01798618Medicaid
0924540001Medicare ID - Type Unspecified
NY01798618Medicaid