MEDICARE: CARING ANGELS IN HOME CARE INC.

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	HP0221200	NJ

General Provider Information

NPI Number	:	1518328293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING ANGELS IN HOME CARE INC.

Provider Business Mailing Address
First Line	:	392 RITTENHOUSE CT
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3533
Country	:	US
Telephone Number	:	732-514-6669
Fax Number	:

Provider Business Practice Location Address
First Line	:	197 ROUTE 18 SOUTH, SUITE 3000
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816
Country	:	US
Telephone Number	:	732-514-6669
Fax Number	:	888-325-7355

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. DANA VICKERIE-BETE
Credential	:	LPN
Telephone Number	:	917-604-4068

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	03/09/2016

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