MEDICARE: ARIEL HEALTHCARE

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1932830015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIEL HEALTHCARE

Provider Business Mailing Address
First Line	:	137 RUES LN
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-4241
Country	:	US
Telephone Number	:	929-434-8002
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 RUES LN
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-4241
Country	:	US
Telephone Number	:	929-434-8002
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LOVENSKY B LUBIN
Credential	:
Telephone Number	:	929-434-8002

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	06/21/2022

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