MEDICARE: MARIAN CARE OF NJ INC

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	251E00000X	Home Health Agency	HP0037300	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1982713822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIAN CARE OF NJ INC

Provider Business Mailing Address
First Line	:	50 HARRISON ST
Second Line	:	SUITE 312
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-6064
Country	:	US
Telephone Number	:	201-792-2599
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 HARRISON ST
Second Line	:	SUITE 312
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-6064
Country	:	US
Telephone Number	:	201-792-2599
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHARMAINE SPENCE
Credential	:
Telephone Number	:	201-792-2599

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/26/2007

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