Healthcare Provider Details

I. General information

NPI: 1295411577
Provider Name (Legal Business Name): EVERY MIND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 AINSWORTH ST
LINDEN NJ
07036-4001
US

IV. Provider business mailing address

811 AINSWORTH ST
LINDEN NJ
07036-4001
US

V. Phone/Fax

Practice location:
  • Phone: 201-936-3131
  • Fax: 201-330-4476
Mailing address:
  • Phone: 201-936-3131
  • Fax: 201-330-4476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MINA KALDAS
Title or Position: OWNER
Credential:
Phone: 201-936-3131