Provider Demographics
NPI:1619771862
Name:HOMECARE SUPPLY CORPORATION
Entity type:Organization
Organization Name:HOMECARE SUPPLY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIAL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:CUEVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-905-4905
Mailing Address - Street 1:28 MILAN RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-1810
Mailing Address - Country:US
Mailing Address - Phone:860-905-4905
Mailing Address - Fax:
Practice Address - Street 1:44 CIRCULAR AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-4048
Practice Address - Country:US
Practice Address - Phone:860-905-4905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies