Provider Demographics
NPI:1073783668
Name:4CRIPPENS LLC
Entity Type:Organization
Organization Name:4CRIPPENS LLC
Other - Org Name:SYNERGY HOMECARE OF SOUTH JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CRIPPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-486-6627
Mailing Address - Street 1:539 S SHORE RD
Mailing Address - Street 2:
Mailing Address - City:MARMORA
Mailing Address - State:NJ
Mailing Address - Zip Code:08223-1258
Mailing Address - Country:US
Mailing Address - Phone:609-486-6627
Mailing Address - Fax:609-486-6625
Practice Address - Street 1:539 S SHORE RD
Practice Address - Street 2:
Practice Address - City:MARMORA
Practice Address - State:NJ
Practice Address - Zip Code:08223-1258
Practice Address - Country:US
Practice Address - Phone:609-486-6627
Practice Address - Fax:609-486-6625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health