Provider Demographics
NPI:1083929004
Name:NEW ALLIED HEALTH GROUP LLC
Entity Type:Organization
Organization Name:NEW ALLIED HEALTH GROUP LLC
Other - Org Name:CERTIFIED HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PETROSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-275-6149
Mailing Address - Street 1:26 PARK ST
Mailing Address - Street 2:SUITE 2031
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3434
Mailing Address - Country:US
Mailing Address - Phone:800-275-6149
Mailing Address - Fax:973-577-1299
Practice Address - Street 1:26 PARK ST
Practice Address - Street 2:SUITE 2031
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3434
Practice Address - Country:US
Practice Address - Phone:800-275-6149
Practice Address - Fax:973-577-1299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0142400253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care