Healthcare Provider Details

I. General information

NPI: 1962983379
Provider Name (Legal Business Name): PROMISE CARE OF ESSEX COUNTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 CENTRAL AVE STE 304
EAST ORANGE NJ
07018-1943
US

IV. Provider business mailing address

576 CENTRAL AVE STE 304
EAST ORANGE NJ
07018-1943
US

V. Phone/Fax

Practice location:
  • Phone: 973-378-1000
  • Fax:
Mailing address:
  • Phone: 973-678-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MOSHE ROSENBERG
Title or Position: OWNER
Credential:
Phone: 973-378-1000