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NPI Code Detail

MEDICARE: RMR HOME CARE LLC DBA HOME HELPERS AND DIRECT LINK

MEDICARE: RMR HOME CARE LLC DBA HOME HELPERS AND DIRECT LINK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10450283581OTHERNJCERTIFICATE OF FORMATION

General Provider Information

NPI Number : 1215405600
Entity Type Code : Organization
Provider Name (Legal Business Name) : RMR HOME CARE LLC DBA HOME HELPERS AND DIRECT LINK
Provider Business Mailing Address
First Line : 182 KINGSLAND ST UNIT C
Second Line :
City : NUTLEY
State : NJ
Zip : 07110-1120
Country : US
Telephone Number : 862-201-3121
Fax Number :
Provider Business Practice Location Address
First Line : 101 HUDSON ST STE 2100
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-3929
Country : US
Telephone Number : 347-920-8333
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JEFFREY ROQUE
Credential : RN
Telephone Number : 862-201-3121
Provider Enumeration Date : 11/05/2018
Last Update Date : 07/09/2019

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Directions to “RMR HOME CARE LLC DBA HOME HELPERS AND DIRECT LINK ” Practice Location

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