Healthcare Provider Details

I. General information

NPI: 1780441121
Provider Name (Legal Business Name): JH THERAPY SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 03/04/2024
Certification Date: 03/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 BEAR TAVERN RD
EWING NJ
08628-1021
US

IV. Provider business mailing address

228 PARK AVE S # 36053
NEW YORK NY
10003-1502
US

V. Phone/Fax

Practice location:
  • Phone: 212-321-5113
  • 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: DANIEL ELLIOT
Title or Position: OWNER
Credential:
Phone: 516-851-5390