Healthcare Provider Details

I. General information

NPI: 1144229188
Provider Name (Legal Business Name): LOVING CARE AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CHALLENGER RD SUITE 302
RIDGEFIELD PARK NJ
07660-2104
US

IV. Provider business mailing address

611 ROUTE 46 WEST SUITE 200
HASBROUCK HEIGHTS NJ
07604-3118
US

V. Phone/Fax

Practice location:
  • Phone: 201-403-9300
  • Fax: 201-403-9262
Mailing address:
  • Phone: 201-403-9300
  • Fax: 201-403-9262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. ROBERT F. CREAMER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 201-403-9300