Healthcare Provider Details

I. General information

NPI: 1467260257
Provider Name (Legal Business Name): CMS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2024
Last Update Date: 06/08/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E COUNTY LINE RD STE 102
LAKEWOOD NJ
08701-2089
US

IV. Provider business mailing address

920 E COUNTY LINE RD STE 102
LAKEWOOD NJ
08701-2089
US

V. Phone/Fax

Practice location:
  • Phone: 732-822-8487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: IZEKIEL MENDLOWITZ
Title or Position: OWNER
Credential:
Phone: 732-232-2848