Provider Demographics
NPI:1073229209
Name:GLAD HOME HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:GLAD HOME HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSTAMANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-590-9588
Mailing Address - Street 1:312 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3257
Mailing Address - Country:US
Mailing Address - Phone:908-590-9588
Mailing Address - Fax:888-349-5511
Practice Address - Street 1:312 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3257
Practice Address - Country:US
Practice Address - Phone:908-590-9588
Practice Address - Fax:888-349-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care