PROFESSIONAL CARE HOME CARE AGENCY, INC.
NPI 1083105175
Home Health in Fort Lee, NJ

Active since May 23, 2018
2050 CENTER AVE STE 318, FORT LEE, NJ 07024(347) 683-5773(201) 944-4029 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Professional Care Home Care Agency, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL CARE HOME CARE AGENCY, INC. (NPI 1083105175) is a healthcare organization registered as a home health in Fort Lee, New Jersey and active in the NPI registry since May 2018. The organization lists Nellie Krivosheyev, President, as its authorized official.

NPPES Registry Identity

NPI1083105175
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePROFESSIONAL CARE HOME CARE AGENCY, INC.
Location Address2050 CENTER AVE STE 318Fort Lee, NJ 07024-4932
Mailing Address2050 Center Ave Ste 318Fort Lee, NJ 07024-4932 · (347) 683-5773 · Fax (201) 944-4029
Fax(201) 944-4029
Organization SubpartNo
Authorized OfficialNellie KrivosheyevPresident · (347) 683-5773
Enumeration DateMay 23, 2018
NPI 1083105175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in NJ · HP0275000
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2050 CENTER AVE STE 318, Fort Lee, NJ 07024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Care Home Care Agency, Inc.'s NPI number?

The NPI number for Professional Care Home Care Agency, Inc. is 1083105175. It was assigned to this organization in the NPPES registry on May 23, 2018.

Where is Professional Care Home Care Agency, Inc. located?

Professional Care Home Care Agency, Inc. is located at 2050 Center Ave Ste 318, Fort Lee, NJ 07024. The listed phone number is (347) 683-5773.

What is Professional Care Home Care Agency, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Professional Care Home Care Agency, Inc. was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.