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Contact Information

BROADWAY RESPITE AND HOME CARE, LLC
17-17 BROADWAY
FAIR LAWN, NJ07410
 Phone: 201-703-3980
 Fax: 201-703-3984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for BROADWAY RESPITE AND HOME CARE, LLC

NPI # 1285151670
LBN Legal business name BROADWAY RESPITE AND HOME CARE, LLC
Authorized official ANASTASIA VAYNBERG - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2017
Last updated 08/25/2017 - About 9 years ago
Identifiers
NJ License # 1266913
NJ Medicaid 0463841
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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