Provider Demographics
NPI:1114017944
Name:PARTNERS IN HOME CARE INC
Entity Type:Organization
Organization Name:PARTNERS IN HOME CARE INC
Other - Org Name:THE COUNSELING CENTER OF MOORESTOWN VNA
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, IT AND PATIENT ACCOUNTS
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:RABINDRANAUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-552-1300
Mailing Address - Street 1:300 HARPER DR
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3208
Mailing Address - Country:US
Mailing Address - Phone:856-552-1300
Mailing Address - Fax:856-552-1314
Practice Address - Street 1:300 HARPER DR
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057
Practice Address - Country:US
Practice Address - Phone:856-552-1300
Practice Address - Fax:856-552-1314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101650104101Y00000X, 103T00000X, 104100000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ157818Medicare PIN
NJ157818Medicare UPIN