Healthcare Provider Details

I. General information

NPI: 1144845983
Provider Name (Legal Business Name): INMERCY HOME CARE SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

396 15TH AVE
NEWARK NJ
07103-2326
US

IV. Provider business mailing address

396 15TH AVE
NEWARK NJ
07103-2326
US

V. Phone/Fax

Practice location:
  • Phone: 973-622-0700
  • Fax: 973-622-0711
Mailing address:
  • Phone: 973-622-0700
  • Fax: 973-622-0711

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: SHERICA A JAMES
Title or Position: OFFICE MANAGER
Credential: MBA
Phone: 908-937-0142