MEDICARE: VISITING HOMEMAKER SERVICE OF PASSAIC COUNTY

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
2	251E00000X	Home Health Agency		NJ
3	251E00000X	Home Health Agency	HP0108500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407948219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING HOMEMAKER SERVICE OF PASSAIC COUNTY

Provider Business Mailing Address
First Line	:	2000 SIENA VLG
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3590
Country	:	US
Telephone Number	:	973-523-1224
Fax Number	:	973-523-5228

Provider Business Practice Location Address
First Line	:	2000 SIENA VLG
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3590
Country	:	US
Telephone Number	:	973-523-1224
Fax Number	:	973-523-5228

Authorized Official
Title or Position	:	BILLING COORDINATOR
Name	:	MATTHEW SHORT
Credential	:
Telephone Number	:	201-897-5550

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	03/12/2026

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Directions to “VISITING HOMEMAKER SERVICE OF PASSAIC COUNTY ” Practice Location

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