=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093156911
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 1 ON 1 CARING SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2013
-----------------------------------------------------
Last Update Date | 07/08/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 219 WALNUT AVE
-----------------------------------------------------
City | CRANFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07016-2930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-505-1200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 219 WALNUT AVE
-----------------------------------------------------
City | CRANFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07016-2930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-505-1200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MYLES MITTWOL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 201-505-1200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HP0173200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------