Healthcare Provider Details

I. General information

NPI: 1275457491
Provider Name (Legal Business Name): RICARDO N COLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 HEMLOCK LN
SICKLERVILLE NJ
08081-4640
US

IV. Provider business mailing address

1820 CHAPEL AVE W STE 300
CHERRY HILL NJ
08002-4612
US

V. Phone/Fax

Practice location:
  • Phone: 347-475-7215
  • Fax:
Mailing address:
  • Phone: 347-475-7215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: