Healthcare Provider Details

I. General information

NPI: 1811698731
Provider Name (Legal Business Name): CARING LADIES HOMECARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 ALDEN ST APT 384
WALLINGTON NJ
07057-2078
US

IV. Provider business mailing address

271 ALDEN ST APT 384
WALLINGTON NJ
07057-2078
US

V. Phone/Fax

Practice location:
  • Phone: 201-580-0300
  • Fax: 973-778-0884
Mailing address:
  • Phone: 201-580-0300
  • Fax: 973-778-0884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: VIVIAN VAN DYCK
Title or Position: OWNER
Credential:
Phone: 201-580-0300