Healthcare Provider Details

I. General information

NPI: 1639208119
Provider Name (Legal Business Name): CHRILL CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BLOOMFIELD AVE
VERONA NJ
07044-2714
US

IV. Provider business mailing address

201 BLOOMFIELD AVE
VERONA NJ
07044-2714
US

V. Phone/Fax

Practice location:
  • Phone: 973-744-8103
  • Fax: 973-744-6950
Mailing address:
  • Phone: 973-744-8103
  • Fax: 973-744-6950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JUSTIN SANZARI
Title or Position: CFO
Credential:
Phone: 973-744-8103