Provider Demographics
NPI:1154196897
Name:HOME CARE PLUS LLC
Entity type:Organization
Organization Name:HOME CARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-289-0938
Mailing Address - Street 1:1100 HOOKSETT RD STE 102RM1
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1073
Mailing Address - Country:US
Mailing Address - Phone:603-698-2172
Mailing Address - Fax:
Practice Address - Street 1:1100 HOOKSETT RD STE 102RM1
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1073
Practice Address - Country:US
Practice Address - Phone:603-698-2172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care