Healthcare Provider Details

I. General information

NPI: 1740302603
Provider Name (Legal Business Name): MEGA CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 ROCK AVE
GREEN BROOK NJ
08812-2616
US

IV. Provider business mailing address

303 ROCK AVE
GREEN BROOK NJ
08812-2616
US

V. Phone/Fax

Practice location:
  • Phone: 973-450-2908
  • Fax: 973-844-4705
Mailing address:
  • Phone: 973-450-2908
  • Fax: 973-844-4705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number061805
License Number StateNJ

VIII. Authorized Official

Name: DAVE SWEENEY
Title or Position: VP FINANCIAL OPERATIONS
Credential:
Phone: 908-851-8355