Healthcare Provider Details

I. General information

NPI: 1467210336
Provider Name (Legal Business Name): PARKER HOME AND COMMUNITY BASED SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2024
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 RIVER RD
PISCATAWAY NJ
08854-5818
US

IV. Provider business mailing address

1421 RIVER RD
PISCATAWAY NJ
08854-5818
US

V. Phone/Fax

Practice location:
  • Phone: 732-545-8330
  • Fax: 732-909-2489
Mailing address:
  • Phone: 732-545-8330
  • Fax: 732-909-2489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YULIER GOMEZ
Title or Position: FINANCIAL SERVICES MGR
Credential:
Phone: 732-418-8618