=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285520080
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MADGE'S REIGN HOME CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2025
-----------------------------------------------------
Last Update Date | 08/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 576 CENTRAL AVE FL 3
-----------------------------------------------------
City | EAST ORANGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07018-1951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-323-0283
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 576 CENTRAL AVE FL 3
-----------------------------------------------------
City | EAST ORANGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07018-1951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-323-0283
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DUNCAN T FORBES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-260-2621
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------