Healthcare Provider Details

I. General information

NPI: 1851539639
Provider Name (Legal Business Name): US HEALTH PORTAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2009
Last Update Date: 02/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 GOSHAWK CT
VOORHEES NJ
08043-1677
US

IV. Provider business mailing address

18 GOSHAWK CT
VOORHEES NJ
08043-1677
US

V. Phone/Fax

Practice location:
  • Phone: 856-669-8237
  • Fax:
Mailing address:
  • Phone: 856-669-8237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: HOWARD STUART FRIEDMAN
Title or Position: PRESIDENT
Credential:
Phone: 856-669-8237