Provider Demographics
NPI:1093848038
Name:ALL METRO HOME CARE SERVICES OF NEW JERSEY, INC.
Entity Type:Organization
Organization Name:ALL METRO HOME CARE SERVICES OF NEW JERSEY, INC.
Other - Org Name:ALL METRO HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-750-9135
Mailing Address - Street 1:70 E SUNRISE HWY
Mailing Address - Street 2:SUITE 520
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1240
Mailing Address - Country:US
Mailing Address - Phone:516-750-9135
Mailing Address - Fax:
Practice Address - Street 1:1 MALL DR
Practice Address - Street 2:SUITE 903
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2101
Practice Address - Country:US
Practice Address - Phone:516-750-9135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL METRO HOME CARE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-13
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0054364Medicaid
NJ0054372Medicaid