Healthcare Provider Details

I. General information

NPI: 1023503075
Provider Name (Legal Business Name): GERIATRIC CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UNIVERSITY PLZ 100
HACKENSACK NJ
07601-6210
US

IV. Provider business mailing address

2 UNIVERSITY PLZ STE 100
HACKENSACK NJ
07601-6210
US

V. Phone/Fax

Practice location:
  • Phone: 866-568-0120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care 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: MS. CAITLIN WALLEN
Title or Position: ADMIN
Credential:
Phone: 866-568-0120