Healthcare Provider Details

I. General information

NPI: 1174347082
Provider Name (Legal Business Name): ATTENTIVE CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 12/04/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 INDEPENDENCE WAY APT 115
GIBBSBORO NJ
08026-1169
US

IV. Provider business mailing address

49 CHARTER OAK CT
DOYLESTOWN PA
18901-2790
US

V. Phone/Fax

Practice location:
  • Phone: 609-545-2300
  • Fax: 609-545-2385
Mailing address:
  • Phone: 302-438-4489
  • Fax: 609-545-2385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DONYALE J SHOWERS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 609-545-2300