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General NPI Number Information
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NPI Number | 1598278004
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Entity Type | Organization
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Legal Business Name | MOMCARES GROUP HOME LLC.
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 420 BALDWIN ST
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City | PISCATAWAY
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State | NJ
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Zip | 08854-2335
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Country | US
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Telephone | 732-377-9889
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Fax | 732-377-9606
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Provider Business Mailing Address
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Address Line | 21 HIGH ACRE DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4717
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Country | US
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Telephone | 603-233-6924
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOAN SOI
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Credential | RN/BSN
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Telephone | 603-233-6924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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