=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700338225
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 1-800-L CARE 4 U
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/01/2016
-----------------------------------------------------
Last Update Date | 09/08/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 57 COOPER ST
-----------------------------------------------------
City | WOODBURY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08096-4650
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-670-6784
-----------------------------------------------------
Fax | 856-202-5640
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 57 COOPER ST STE 2
-----------------------------------------------------
City | WOODBURY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08096-4650
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-670-6784
-----------------------------------------------------
Fax | 856-202-5640
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. CHERRIL GREEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 267-670-6784
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------