Provider Demographics
NPI:1083761399
Name:MERCER STREET FRIENDS CENTER
Entity Type:Organization
Organization Name:MERCER STREET FRIENDS CENTER
Other - Org Name:FRIENDS HOME HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR, FRIENDS HOME HEALTH
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:609-396-1505
Mailing Address - Street 1:7 DUNMORE AVE
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-1937
Mailing Address - Country:US
Mailing Address - Phone:609-396-1505
Mailing Address - Fax:609-989-7157
Practice Address - Street 1:7 DUNMORE AVE
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08618-1937
Practice Address - Country:US
Practice Address - Phone:609-396-1505
Practice Address - Fax:609-989-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ71103251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF10046OtherHEALTH NET
NJ1023795OtherMERCY HEALTH PLAN
NJA465813OtherOXFORD HEALTH PLAN
NJ317062OtherHORIZON BLUE CROSS
NJ3691306Medicaid
NJ61332OtherAETNA HEALTH PLAN
NJ317062OtherHORIZON BLUE CROSS