Provider Demographics
NPI:1093040958
Name:RELIANCE HEALTHCARE NJ INC.
Entity Type:Organization
Organization Name:RELIANCE HEALTHCARE NJ INC.
Other - Org Name:JUST LIKE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:JARIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-520-4126
Mailing Address - Street 1:106 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879
Mailing Address - Country:US
Mailing Address - Phone:732-721-9200
Mailing Address - Fax:888-843-6925
Practice Address - Street 1:106 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879
Practice Address - Country:US
Practice Address - Phone:732-721-9200
Practice Address - Fax:888-843-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care