Provider Demographics
NPI:1649028077
Name:HOMECARE PT
Entity type:Organization
Organization Name:HOMECARE PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:SY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:551-358-2425
Mailing Address - Street 1:63 VAN PELT PL FL 1
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1003
Mailing Address - Country:US
Mailing Address - Phone:551-358-2425
Mailing Address - Fax:973-943-4437
Practice Address - Street 1:63 VAN PELT PL FL 1
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1003
Practice Address - Country:US
Practice Address - Phone:551-358-2425
Practice Address - Fax:973-943-4437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health