Healthcare Provider Details

I. General information

NPI: 1982769410
Provider Name (Legal Business Name): FIDELITY CARE,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 04/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 DEWITT ST SUITE 204
GARFIELD NJ
07026-2745
US

IV. Provider business mailing address

113 DEWITT ST SUITE 204
GARFIELD NJ
07026-2745
US

V. Phone/Fax

Practice location:
  • Phone: 973-478-3500
  • Fax:
Mailing address:
  • Phone: 973-478-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0041400
License Number StateNJ

VIII. Authorized Official

Name: MR. MICHAEL FRISHER
Title or Position: PRESIDENT
Credential:
Phone: 973-478-3500