Provider Demographics
NPI:1669984381
Name:PRACTICE HOME CARE SERVICES INC
Entity type:Organization
Organization Name:PRACTICE HOME CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-670-8813
Mailing Address - Street 1:991 US HIGHWAY 22 STE 200
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2957
Mailing Address - Country:US
Mailing Address - Phone:732-640-4092
Mailing Address - Fax:877-560-6873
Practice Address - Street 1:991 US HIGHWAY 22 STE 200
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2957
Practice Address - Country:US
Practice Address - Phone:732-640-4092
Practice Address - Fax:877-560-6873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-03
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNP0073500251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health