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NPI Code Detail

MEDICARE: ADULT FAMILY HEALTH SERVICES LLC

MEDICARE: ADULT FAMILY HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043786254
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADULT FAMILY HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 53 ORCHARD ST
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1832
Country : US
Telephone Number : 973-773-7600
Fax Number : 973-773-7011
Provider Business Practice Location Address
First Line : 53 ORCHARD ST
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1832
Country : US
Telephone Number : 973-773-7600
Fax Number : 973-773-7011
Authorized Official
Title or Position : CEO
Name : VIKTORIYA FINE
Credential :
Telephone Number : 973-773-7600
Provider Enumeration Date : 10/16/2018
Last Update Date : 12/24/2020

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Directions to “ADULT FAMILY HEALTH SERVICES LLC ” Practice Location

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