Healthcare Provider Details

I. General information

NPI: 1023357530
Provider Name (Legal Business Name): LIMBCARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 01/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 ERNSTON RD
PARLIN NJ
08859-1922
US

IV. Provider business mailing address

234 ERNSTON RD
PARLIN NJ
08859-1922
US

V. Phone/Fax

Practice location:
  • Phone: 732-721-2273
  • Fax: 732-721-2274
Mailing address:
  • Phone: 732-713-1672
  • Fax: 732-721-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number8026003652
License Number StateNJ

VIII. Authorized Official

Name: GLENN EASTON
Title or Position: PRESIDENT
Credential:
Phone: 646-262-1845