Provider Demographics
NPI:1083941868
Name:VISITING NURSE ASSOCIATION OF CENTRAL JERSEY, INC.
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF CENTRAL JERSEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, FAAN
Authorized Official - Phone:732-224-6868
Mailing Address - Street 1:176 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1063
Mailing Address - Country:US
Mailing Address - Phone:732-747-1204
Mailing Address - Fax:732-224-0843
Practice Address - Street 1:274 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2419
Practice Address - Country:US
Practice Address - Phone:973-412-2000
Practice Address - Fax:973-481-6395
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING NURSE ASSOCIATION OF CENTRAL JERSEY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22361251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health