Healthcare Provider Details

I. General information

NPI: 1194490870
Provider Name (Legal Business Name): BEDMINSTER HOMECARE PT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2021
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 TIMBERBROOKE DR
BEDMINSTER NJ
07921-2111
US

IV. Provider business mailing address

703 TIMBERBROOKE DR
BEDMINSTER NJ
07921-2111
US

V. Phone/Fax

Practice location:
  • Phone: 908-420-2240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GABRIEL JACOB EISNER
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 908-420-2240