National Provider Identifier Database

BROADWAY RESPITE AND HOME CARE LLC
Respite Care


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
* Respite Care 385H00000X

* Indicates primary specialty

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

NPI Number 1346767738
Legal business name
LBN
BROADWAY RESPITE AND HOME CARE, LLC
Authorized official ANASTASIA VAYNBERG - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/25/2017
Last updated 08/25/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 1266913
  • NJ Medicaid: 0438341

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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