Healthcare Provider Details

I. General information

NPI: 1730776451
Provider Name (Legal Business Name): VCARE NJ HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2020
Last Update Date: 12/29/2020
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 ETHEL RD W
PISCATAWAY NJ
08854-5952
US

IV. Provider business mailing address

4915 SAINT ELMO AVE STE 302
BETHESDA MD
20814-6077
US

V. Phone/Fax

Practice location:
  • Phone: 732-640-0455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: YOGESH DORAWALA
Title or Position: COO
Credential:
Phone: 908-812-5079