Healthcare Provider Details

I. General information

NPI: 1689111536
Provider Name (Legal Business Name): A-1 HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291A MAIN ST
HACKENSACK NJ
07601-5730
US

IV. Provider business mailing address

291A MAIN ST
HACKENSACK NJ
07601-5730
US

V. Phone/Fax

Practice location:
  • Phone: 201-343-0033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0021600
License Number StateNJ

VII. Legacy identifiers

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

VIII. Authorized Official

Name: CAROL TRENT
Title or Position: DIRECTOR
Credential:
Phone: 201-343-0033