Healthcare Provider Details

I. General information

NPI: 1730478694
Provider Name (Legal Business Name): ALWAYS HOME CARE MIDDLESEX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167C NEW BRUNSWICK AVE
PERTH AMBOY NJ
08861
US

IV. Provider business mailing address

167 NEW BRUNSWICK AVE
PERTH AMBOY NJ
08861
US

V. Phone/Fax

Practice location:
  • Phone: 732-826-6300
  • Fax: 732-826-5300
Mailing address:
  • Phone: 732-826-6300
  • Fax: 732-826-5300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0152400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number0152400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number0152400
License Number StateNJ

VIII. Authorized Official

Name: KARINA ESAIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 732-826-6300