Healthcare Provider Details

I. General information

NPI: 1164066734
Provider Name (Legal Business Name): CAREX HOME HEALTH AND NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2019
Last Update Date: 11/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 SHREWSBURY AVE STE 220
SHREWSBURY NJ
07702-5017
US

IV. Provider business mailing address

621 SHREWSBURY AVE STE 220
SHREWSBURY NJ
07702-5017
US

V. Phone/Fax

Practice location:
  • Phone: 888-511-5923
  • Fax: 888-511-3219
Mailing address:
  • Phone: 888-511-5923
  • Fax: 888-511-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. BERNARD M KIMUNYU
Title or Position: MANAGING PARTNER
Credential:
Phone: 888-511-5923