MEDICARE: RED CARPET HOME SERVICES LLC

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
1	251E00000X	Home Health Agency	1889414	NJ

General Provider Information

NPI Number	:	1396116554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED CARPET HOME SERVICES LLC

Provider Business Mailing Address
First Line	:	216 RIVER AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4807
Country	:	US
Telephone Number	:	732-858-5400
Fax Number	:	732-987-3911

Provider Business Practice Location Address
First Line	:	216 RIVER AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4807
Country	:	US
Telephone Number	:	732-858-5400
Fax Number	:	732-987-3911

Authorized Official
Title or Position	:	CEO
Name	:	MR. ISRAEL SAKS
Credential	:
Telephone Number	:	732-858-5400

Provider Enumeration Date	:	10/14/2015
Last Update Date	:	10/14/2015

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Directions to “RED CARPET HOME SERVICES LLC ” Practice Location

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