Healthcare Provider Details

I. General information

NPI: 1912945916
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF CENTRAL JERSEY PERSONAL CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 RIVERSIDE AVE
RED BANK NJ
07701-1063
US

IV. Provider business mailing address

176 RIVERSIDE AVE
RED BANK NJ
07701-1063
US

V. Phone/Fax

Practice location:
  • Phone: 732-224-6891
  • Fax: 732-224-0843
Mailing address:
  • Phone: 732-224-6891
  • Fax: 732-224-0843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0099800
License Number StateNJ

VIII. Authorized Official

Name: MR. JOHN CHIAPPINELLI
Title or Position: CHIEF-LEGAL AFFAIRS
Credential:
Phone: 732-224-6914