Healthcare Provider Details

I. General information

NPI: 1619324928
Provider Name (Legal Business Name): CARE FINDERS TOTAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 MAIN ST 2ND FLOOR
HACKENSACK NJ
07601-7146
US

IV. Provider business mailing address

171 MAIN ST 2ND FLOOR
HACKENSACK NJ
07601-7146
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-5122
  • Fax:
Mailing address:
  • Phone: 201-342-5122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0181800
License Number StateNJ

VII. Legacy identifiers

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

# 1
Identifier0498734
Identifier TypeMEDICAID
Identifier StateNJ
Identifier Issuer

VIII. Authorized Official

Name: KEVIN G ROGERS
Title or Position: CEO
Credential:
Phone: 201-342-5122