Healthcare Provider Details

I. General information

NPI: 1104115278
Provider Name (Legal Business Name): ALWAYS HOME CARE OF MORRIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 03/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 BASSETT HWY
DOVER NJ
07801-3840
US

IV. Provider business mailing address

81 BASSETT HWY
DOVER NJ
07801-3840
US

V. Phone/Fax

Practice location:
  • Phone: 973-620-9378
  • Fax: 973-620-9379
Mailing address:
  • Phone: 973-620-9378
  • Fax: 973-620-9379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0142600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number0142600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number0142600
License Number StateNJ

VIII. Authorized Official

Name: KARINA ESAIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 201-869-0880