MEDICARE: HOME & HOSPITAL MEDICAL PERSONNEL

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		NJ

General Provider Information

NPI Number	:	1609931633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME & HOSPITAL MEDICAL PERSONNEL

Provider Business Mailing Address
First Line	:	799 BLOOMFIELD AVE
Second Line	:	SUITE 210
City	:	VERONA
State	:	NJ
Zip	:	07044-1367
Country	:	US
Telephone Number	:	973-857-9200
Fax Number	:	973-857-3061

Provider Business Practice Location Address
First Line	:	799 BLOOMFIELD AVE
Second Line	:	SUITE 210
City	:	VERONA
State	:	NJ
Zip	:	07044-1367
Country	:	US
Telephone Number	:	973-857-9200
Fax Number	:	973-857-3061

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SHEILA O'CONNELL
Credential	:	RN
Telephone Number	:	973-857-9200

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	02/16/2015

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