=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093337255
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | N.F.T.J HOME CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2020
-----------------------------------------------------
Last Update Date | 01/18/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 526 N SAINT CLOUD ST # 528
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18104-5041
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-728-1538
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5100 W TILGHMAN ST STE 240
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18104-9149
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-572-3996
-----------------------------------------------------
Fax | 412-223-3431
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | C.E.O
-----------------------------------------------------
Name | NADIA FRANCIUS
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 610-572-3996
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------