1750492591 NPI number — VISITING CAREGIVERS OF NEW JERSEY, LLC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750492591 NPI number — VISITING CAREGIVERS OF NEW JERSEY, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VISITING CAREGIVERS OF NEW JERSEY, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
VCNJ
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750492591
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 ROSETREE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAWRENCEVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08648-3232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-882-5300
Provider Business Mailing Address Fax Number:
609-882-5330

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9 ROSETREE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08648-3232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-882-5300
Provider Business Practice Location Address Fax Number:
609-882-5330
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TUNNARD
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
JOHN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
609-882-5300

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HP0076900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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