Provider Demographics
NPI:1003979733
Name:HOMECARE SPECIALIST OF NEW JERSEY LLC
Entity Type:Organization
Organization Name:HOMECARE SPECIALIST OF NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOVELLA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-442-0896
Mailing Address - Street 1:1 FIELD CREST AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1700
Mailing Address - Country:US
Mailing Address - Phone:609-442-0896
Mailing Address - Fax:609-653-2798
Practice Address - Street 1:1 FIELD CREST AVE
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1700
Practice Address - Country:US
Practice Address - Phone:609-442-0896
Practice Address - Fax:609-653-2798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty