Provider Demographics
NPI:1003212499
Name:SDMA, INC. DBA HOME HELPERS
Entity Type:Organization
Organization Name:SDMA, INC. DBA HOME HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-461-1601
Mailing Address - Street 1:141 DORADO DR
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-2028
Mailing Address - Country:US
Mailing Address - Phone:856-461-1601
Mailing Address - Fax:856-461-1602
Practice Address - Street 1:141 DORADO DR
Practice Address - Street 2:
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-2028
Practice Address - Country:US
Practice Address - Phone:856-461-1601
Practice Address - Fax:856-461-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0076500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0797900Medicaid