Healthcare Provider Details

I. General information

NPI: 1275766826
Provider Name (Legal Business Name): LOVING CARE AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2009
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 SPARTA AVE
SPARTA NJ
07871-1760
US

IV. Provider business mailing address

55 CHALLENGER RD SUITE 302
RIDGEFIELD PARK NJ
07660-2102
US

V. Phone/Fax

Practice location:
  • Phone: 973-729-3813
  • Fax: 973-729-4316
Mailing address:
  • Phone: 201-403-9312
  • Fax: 201-403-9262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0076216
License Number StateNJ

VIII. Authorized Official

Name: ROBERT F CREAMER
Title or Position: CEO
Credential:
Phone: 201-403-9310