ENCHANTED IMPRESSIONS; NPI #1063207892

Contact Information

ENCHANTED IMPRESSIONS

440 DIETZ ST
ROSELLE, NJ 07203-2328

Phone: 973-634-0236
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hospice Care, Community Based	251G00000X	B4[14]	Hospice
In Home Supportive Care	253Z00000X
Private Vehicle	347C00000X
Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X

Indicates primary specialty

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NPI Profile & details for ENCHANTED IMPRESSIONS

NPI #	`1063207892`
LBN Legal business name	ENCHANTED IMPRESSIONS
Authorized official	TYANA WHITING - (ADMINISTRATIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/11/2025
Last updated	04/17/2025 - More than a year ago
Identifiers	n/a

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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