Healthcare Provider Details
I. General information
NPI: 1689227969
Provider Name (Legal Business Name): SAFE AT HOME CONSULTATIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2019
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
56 S WALL ST
NEPTUNE CITY NJ
07753-6618
US
IV. Provider business mailing address
56 S WALL ST
NEPTUNE CITY NJ
07753-6618
US
V. Phone/Fax
- Phone: 732-890-8914
- Fax:
- Phone: 732-890-8914
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XE0001X |
| Taxonomy | Environmental Modification Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XG0600X |
| Taxonomy | Gerontology Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEX
CIAFARDINI
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 732-890-8914