Provider Demographics
NPI:1043813652
Name:A & J HEALTHCARE LLC.
Entity Type:Organization
Organization Name:A & J HEALTHCARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:203-543-3743
Mailing Address - Street 1:6 PEARL PL
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-2035
Mailing Address - Country:US
Mailing Address - Phone:203-543-3743
Mailing Address - Fax:
Practice Address - Street 1:6 PEARL PL
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-2035
Practice Address - Country:US
Practice Address - Phone:203-543-3743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health