Provider Demographics
NPI:1093287484
Name:MORNINGSIDE HEALTH LIMITED LIABILITY COM
Entity Type:Organization
Organization Name:MORNINGSIDE HEALTH LIMITED LIABILITY COM
Other - Org Name:MORNINGSIDE HEALTH LIMITED LIABILITY COM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:KANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-997-8859
Mailing Address - Street 1:33 LAUREL PL
Mailing Address - Street 2:
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-1314
Mailing Address - Country:US
Mailing Address - Phone:908-654-3179
Mailing Address - Fax:908-654-3179
Practice Address - Street 1:33 LAUREL PL
Practice Address - Street 2:
Practice Address - City:FANWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07023-1314
Practice Address - Country:US
Practice Address - Phone:908-654-3179
Practice Address - Fax:908-654-3179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-22
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care