MEDICARE: AMERIWELL CARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1457245169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERIWELL CARE

Provider Business Mailing Address
First Line	:	1412 CANTERBURY RD
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-1552
Country	:	US
Telephone Number	:	848-210-7860
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 FOREST AVE STE 102
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-1775
Country	:	US
Telephone Number	:	848-210-7860
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ELI ROTH
Credential	:
Telephone Number	:	848-210-7860

Provider Enumeration Date	:	06/06/2025
Last Update Date	:	06/06/2025

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Directions to “AMERIWELL CARE ” Practice Location

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