Provider Demographics
NPI:1184716573
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:MRS
Authorized Official - First Name:MARIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDINSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-971-9009
Mailing Address - Street 1:933 LACEY RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-1049
Mailing Address - Country:US
Mailing Address - Phone:609-971-9009
Mailing Address - Fax:609-971-9055
Practice Address - Street 1:915 LACEY RD STE 2
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-1106
Practice Address - Country:US
Practice Address - Phone:609-971-9009
Practice Address - Fax:609-971-9055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251G00000X, 251J00000X, 251S00000X, 253Z00000X, 251E00000X
NJHP0225700251E00000X, 253Z00000X
NJ0477443251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0502529Medicaid