=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891534822
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELDERCARE PLANNING SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2024
-----------------------------------------------------
Last Update Date | 05/20/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 47 MULFORD RD
-----------------------------------------------------
City | LAFAYETTE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07848-3612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-525-5210
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 47 MULFORD RD
-----------------------------------------------------
City | LAFAYETTE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07848-3612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-525-5210
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ELDERCARE PLANNING SPECIALIST
-----------------------------------------------------
Name | ROBERTA WARNER
-----------------------------------------------------
Credential | CSW, LNHA
-----------------------------------------------------
Telephone | 973-525-5210
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 376G00000X
-----------------------------------------------------
Taxonomy Name | Nursing Home Administrator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 376J00000X
-----------------------------------------------------
Taxonomy Name | Homemaker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 171WH0202X
-----------------------------------------------------
Taxonomy Name | Home Modifications Contractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------