Provider Demographics
NPI:1770117053
Name:HCBS PRO LLC
Entity type:Organization
Organization Name:HCBS PRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAURANG
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-398-9855
Mailing Address - Street 1:285 CENTRAL AVE APT E5
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1641
Mailing Address - Country:US
Mailing Address - Phone:929-398-9855
Mailing Address - Fax:
Practice Address - Street 1:285 CENTRAL AVE APT E5
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1641
Practice Address - Country:US
Practice Address - Phone:929-398-9855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health