Healthcare Provider Details

I. General information

NPI: 1669444667
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF HUDSON-RICHMOND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 CENTRAL AVE SUITE 209
UNION CITY NJ
07087-2423
US

IV. Provider business mailing address

3133 CENTRAL AVE SUITE 209
UNION CITY NJ
07087-2423
US

V. Phone/Fax

Practice location:
  • Phone: 201-864-3838
  • Fax: 201-864-0093
Mailing address:
  • Phone: 201-864-3838
  • Fax: 201-864-0093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHP0005400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0005400
License Number StateNJ

VIII. Authorized Official

Name: MR. HENRY PARIETTI
Title or Position: PRESIDENT
Credential:
Phone: 201-864-3838