Healthcare Provider Details

I. General information

NPI: 1962259655
Provider Name (Legal Business Name): STERLING CAREGIVERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 HILLWOOD PKWY STE 140
FORT WORTH TX
76177-1532
US

IV. Provider business mailing address

183 JOHNSTON DR
WATCHUNG NJ
07069-4927
US

V. Phone/Fax

Practice location:
  • Phone: 201-989-9777
  • Fax:
Mailing address:
  • Phone: 201-989-9777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SETIAM JOYCELINE KABA
Title or Position: CEO
Credential:
Phone: 201-989-9777