Healthcare Provider Details

I. General information

NPI: 1124656814
Provider Name (Legal Business Name): FAMILY OF CARING HEALTHCARE AT TENAFLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 03/30/2020
Certification Date: 03/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 COUNTY RD
TENAFLY NJ
07670-1815
US

IV. Provider business mailing address

133 COUNTY RD
TENAFLY NJ
07670-1815
US

V. Phone/Fax

Practice location:
  • Phone: 201-567-7800
  • Fax:
Mailing address:
  • Phone: 201-567-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD FRIEDMAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 201-391-0900