Healthcare Provider Details

I. General information

NPI: 1871130666
Provider Name (Legal Business Name): HIGH RISE HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2019
Last Update Date: 11/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PARK PL
MIDDLESEX NJ
08846-1521
US

IV. Provider business mailing address

8 PARK PL
MIDDLESEX NJ
08846-1521
US

V. Phone/Fax

Practice location:
  • Phone: 908-340-7279
  • Fax:
Mailing address:
  • Phone: 908-340-7279
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ARMAND NGUETSOP
Title or Position: CEO
Credential:
Phone: 908-340-7279