Healthcare Provider Details

I. General information

NPI: 1104043678
Provider Name (Legal Business Name): MEDICAL CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 01/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 ROOSEVELT DR
LAUREL SPRINGS NJ
08021-2731
US

IV. Provider business mailing address

PO BOX 1897
LAUREL SPRINGS NJ
08021-8897
US

V. Phone/Fax

Practice location:
  • Phone: 856-232-6058
  • Fax:
Mailing address:
  • Phone: 856-232-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNJ

VIII. Authorized Official

Name: CATHERINE MENEWISCH
Title or Position: OWNER
Credential: CRNP
Phone: 856-232-8260