Healthcare Provider Details

I. General information

NPI: 1275298408
Provider Name (Legal Business Name): PATTERSON CARING HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 FAIRFIELD RD STE 102
FAIRFIELD NJ
07004-1931
US

IV. Provider business mailing address

10 HAMPTON CT
SCOTCHTOWN NY
10941-1610
US

V. Phone/Fax

Practice location:
  • Phone: 972-532-7933
  • Fax: 972-532-7933
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
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: WENDY JAVIER
Title or Position: OWNER
Credential: DIRECTOR
Phone: 845-800-4565