Healthcare Provider Details

I. General information

NPI: 1952427205
Provider Name (Legal Business Name): ALWAYS THERE OF BERGEN COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 MAIN STREET
HACKENSACK NJ
07601
US

IV. Provider business mailing address

191 MAIN STREET
HACKENSACK NJ
07601
US

V. Phone/Fax

Practice location:
  • Phone: 201-287-0400
  • Fax: 201-646-9640
Mailing address:
  • Phone: 201-287-0400
  • Fax: 201-646-9640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0244400
License Number StateNJ

VII. Legacy identifiers

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

# 1
Identifier7896301
Identifier TypeMEDICAID
Identifier StateNJ
Identifier Issuer

VIII. Authorized Official

Name: MRS. ROSALIND MINICOZZI
Title or Position: OWNER ADMINISTRATOR
Credential:
Phone: 201-287-0400