Provider Demographics
NPI:1053807743
Name:HOME CARE NETWORKS, LLC
Entity type:Organization
Organization Name:HOME CARE NETWORKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AGWUNOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-301-8354
Mailing Address - Street 1:1020 PARK AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-3227
Mailing Address - Country:US
Mailing Address - Phone:401-351-5358
Mailing Address - Fax:401-633-7669
Practice Address - Street 1:30 AMORY ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-1503
Practice Address - Country:US
Practice Address - Phone:401-301-8354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
RIHCP02473374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty