Healthcare Provider Details
I. General information
NPI: 1841109642
Provider Name (Legal Business Name): REINA COMPASSIONATE CARE DIGNITY,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1006 MUSSE CT
WILLIAMSTOWN NJ
08094-6324
US
IV. Provider business mailing address
1006 MUSSE CT
WILLIAMSTOWN NJ
08094-6324
US
V. Phone/Fax
- Phone: 781-957-6762
- Fax:
- Phone: 781-957-6762
- 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:
REINA
JEANBAPTISTE
Title or Position: OWNER
Credential:
Phone: 781-957-6762