Healthcare Provider Details

I. General information

NPI: 1720538044
Provider Name (Legal Business Name): CALIBERHEALTH PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 02/19/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 MARKET ST UNIT 1
PERTH AMBOY NJ
08861-4316
US

IV. Provider business mailing address

146 MARKET ST UNIT 1
PERTH AMBOY NJ
08861-4316
US

V. Phone/Fax

Practice location:
  • Phone: 844-515-1983
  • Fax: 844-515-1984
Mailing address:
  • Phone: 844-515-1983
  • Fax: 844-515-1984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0249200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHP0249200
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. MANUEL ELIAS SANTANA
Title or Position: OWNER/DIRECTOR
Credential: MBA
Phone: 844-515-1983