MEDICARE: SJ NURSES 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	HP0142100	NJ

General Provider Information

NPI Number	:	1932413358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SJ NURSES INC.

Provider Business Mailing Address
First Line	:	850 HAMILTON AVE
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08629-1903
Country	:	US
Telephone Number	:	609-396-7100
Fax Number	:	609-396-7559

Provider Business Practice Location Address
First Line	:	434 W SIDE AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-1426
Country	:	US
Telephone Number	:	207-209-1009
Fax Number	:	201-209-1160

Authorized Official
Title or Position	:	ACTING PRESIDENT
Name	:	MISS LIGIA FERNANDES
Credential	:	RN
Telephone Number	:	609-396-7100

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	07/27/2010

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