Healthcare Provider Details

I. General information

NPI: 1922647304
Provider Name (Legal Business Name): CARING COMPANIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S ROUTE 73 STE E
WEST BERLIN NJ
08091-2603
US

IV. Provider business mailing address

701 S ROUTE 73 STE E
WEST BERLIN NJ
08091-2603
US

V. Phone/Fax

Practice location:
  • Phone: 856-318-4511
  • Fax: 973-939-6265
Mailing address:
  • Phone: 856-318-4511
  • Fax: 973-939-6265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: LISA PRICE
Title or Position: DIRECTOR
Credential:
Phone: 856-318-4511