Healthcare Provider Details

I. General information

NPI: 1033809314
Provider Name (Legal Business Name): ADVANCED CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 WARREN ST STE 21
HACKENSACK NJ
07601-5436
US

IV. Provider business mailing address

15 WARREN ST STE 21
HACKENSACK NJ
07601-5436
US

V. Phone/Fax

Practice location:
  • Phone: 201-682-2486
  • Fax:
Mailing address:
  • Phone: 201-682-2486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. LILIAN SKOLIK
Title or Position: CEO
Credential:
Phone: 201-682-2486