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NPI 1679080204

NPI 1679080204 : NJFIRST HOME HEALTH CARE LLC : UNION CITY, NJ

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General NPI Number Information
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    NPI Number           |    1679080204
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    Entity Type          |    Organization 
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    Legal Business Name  |    NJFIRST HOME HEALTH CARE LLC 
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Dates
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    Enumeration Date     |    01/04/2018
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    Last Update Date     |    11/07/2024
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Provider Practice Location Address
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    Address Line         |    3807 BERGENLINE AVE 
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    City                 |    UNION CITY
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    State                |    NJ
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    Zip                  |    07087-4860
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    Country              |    US
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    Telephone            |    201-992-5000
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    Fax                  |    201-489-7800
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Provider Business Mailing Address
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    Address Line         |    1 MARINE PLZ STE 306 
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    City                 |    NORTH BERGEN
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    State                |    NJ
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    Zip                  |    07047-6238
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    Country              |    US
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    Telephone            |    201-992-5000
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    Fax                  |    201-489-7800
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     IDIR  SARADOUNI 
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    Credential           |    RN
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    Telephone            |    201-582-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WH0200X
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    Taxonomy Name        |    Home Health Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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