Healthcare Provider Details

I. General information

NPI: 1093156911
Provider Name (Legal Business Name): 1 ON 1 CARING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2013
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 WALNUT AVE
CRANFORD NJ
07016-2930
US

IV. Provider business mailing address

219 WALNUT AVE
CRANFORD NJ
07016-2930
US

V. Phone/Fax

Practice location:
  • Phone: 201-505-1200
  • Fax:
Mailing address:
  • Phone: 201-505-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0173200
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MYLES MITTWOL
Title or Position: OWNER
Credential:
Phone: 201-505-1200