Provider Demographics
NPI:1093050924
Name:IHEART HOME CARE SERVICES
Entity Type:Organization
Organization Name:IHEART HOME CARE SERVICES
Other - Org Name:IHEART HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:SALES EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EFUNIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-356-5970
Mailing Address - Street 1:285 PASSAIC ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2726
Mailing Address - Country:US
Mailing Address - Phone:973-234-8880
Mailing Address - Fax:201-472-0981
Practice Address - Street 1:285 PASSAIC ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2726
Practice Address - Country:US
Practice Address - Phone:973-234-8880
Practice Address - Fax:201-472-0981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHPO168200253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care