Provider Demographics
NPI:1093858789
Name:COMMUNICARE ADULT DAY HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:COMMUNICARE ADULT DAY HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMAIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CSW
Authorized Official - Phone:856-589-7723
Mailing Address - Street 1:309 FRIES MILL RD
Mailing Address - Street 2:ECHO PLAZA # 17
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-9283
Mailing Address - Country:US
Mailing Address - Phone:856-589-7723
Mailing Address - Fax:856-589-9835
Practice Address - Street 1:309 FRIES MILL RD
Practice Address - Street 2:ECHO PLAZA # 17
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-9283
Practice Address - Country:US
Practice Address - Phone:856-589-7723
Practice Address - Fax:856-589-9835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ83014261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7599404Medicaid