=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396105979
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A PLUS SENIOR CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2016
-----------------------------------------------------
Last Update Date | 02/25/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 ROUTE 130 N SUITE 212
-----------------------------------------------------
City | CINNAMINSON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08077-3365
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-450-1719
-----------------------------------------------------
Fax | 856-499-2971
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 700 ROUTE 130 N SUITE 212
-----------------------------------------------------
City | CINNAMINSON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08077-3365
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-450-1719
-----------------------------------------------------
Fax | 856-499-2971
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. GAIL B JONES
-----------------------------------------------------
Credential | MSJ
-----------------------------------------------------
Telephone | 609-450-1719
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HP0125000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------