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Contact Information

MOM AND PAP'S HOME CARE AGENCY, LLC
50 E PALISADE AVE
2ND FLOOR SUITE 206
ENGLEWOOD, NJ07631-2933
 Phone: 201-567-3181
 Fax: 201-567-1122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for MOM AND PAP'S HOME CARE AGENCY, LLC

NPI Number 1083149975
LBN Legal business name MOM AND PAP'S HOME CARE AGENCY, LLC
Authorized official ENA FORBES - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/27/2017
Last updated 04/27/2017 - About 9 years ago
Identifiers
NJ License # HP0256500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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