Provider Demographics
NPI:1902220577
Name:BEST HOME CARE, INC
Entity Type:Organization
Organization Name:BEST HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAKHNOZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADAMINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-766-9500
Mailing Address - Street 1:5506 BERGENLINE AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-4623
Mailing Address - Country:US
Mailing Address - Phone:201-766-9500
Mailing Address - Fax:
Practice Address - Street 1:5506 BERGENLINE AVE FL 2
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-4623
Practice Address - Country:US
Practice Address - Phone:201-766-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0131701251E00000X
NJHP0131700251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0257478Medicaid