Healthcare Provider Details
I. General information
NPI: 1073446779
Provider Name (Legal Business Name): MBH HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 E CRESCENT AVE STE 208-G
UPPER SADDLE RIVER NJ
07458-1846
US
IV. Provider business mailing address
600 E CRESCENT AVE STE 208-G
UPPER SADDLE RIVER NJ
07458-1846
US
V. Phone/Fax
- Phone: 201-324-4594
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ISRAEL
TAUBENFELD
Title or Position: ADMINISTRATOR
Credential:
Phone: 201-324-4594