Healthcare Provider Details

I. General information

NPI: 1124737184
Provider Name (Legal Business Name): ROLAND HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 11/18/2022
Certification Date: 11/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PATERSON PLANK RD
UNION CITY NJ
07087-3416
US

IV. Provider business mailing address

500 PATERSON PLANK RD
UNION CITY NJ
07087-3416
US

V. Phone/Fax

Practice location:
  • Phone: 908-333-7675
  • Fax:
Mailing address:
  • Phone: 908-333-7675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH EZEKWEM
Title or Position: CEO
Credential:
Phone: 908-636-3113