Healthcare Provider Details

I. General information

NPI: 1730366592
Provider Name (Legal Business Name): BERGEN CARE PERSONAL TOUCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W RIDGEWOOD AVE
PARAMUS NJ
07652
US

IV. Provider business mailing address

65 JACKSON DR STE 103
CRANFORD NJ
07016-3516
US

V. Phone/Fax

Practice location:
  • Phone: 201-666-9000
  • Fax: 201-664-1921
Mailing address:
  • Phone: 908-931-9068
  • Fax: 201-664-1921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: YEWANDE EFODILI
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 908-931-9068