MEDICARE: GLAD HOME HEALTH CARE 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
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073229209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLAD HOME HEALTH CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	312 FRANKLIN RD
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3257
Country	:	US
Telephone Number	:	908-590-9588
Fax Number	:	888-349-5511

Provider Business Practice Location Address
First Line	:	312 FRANKLIN RD
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3257
Country	:	US
Telephone Number	:	908-590-9588
Fax Number	:	888-349-5511

Authorized Official
Title or Position	:	CO-OWNER
Name	:	ALLAN BUSTAMANTE
Credential	:
Telephone Number	:	908-590-9588

Provider Enumeration Date	:	01/31/2023
Last Update Date	:	01/31/2023

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Directions to “GLAD HOME HEALTH CARE SERVICES, LLC ” Practice Location

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