Provider Demographics
NPI:1114248374
Name:HOMECARE ASSISTANCE SERVICES LLC
Entity Type:Organization
Organization Name:HOMECARE ASSISTANCE SERVICES LLC
Other - Org Name:COMFORCARE SENIOR SERVICES-MERCER COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:COLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-771-0083
Mailing Address - Street 1:1901 N OLDEN AVENUE EXT
Mailing Address - Street 2:SUITE 14
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-2111
Mailing Address - Country:US
Mailing Address - Phone:609-771-0083
Mailing Address - Fax:609-771-1183
Practice Address - Street 1:1901 N OLDEN AVENUE EXT
Practice Address - Street 2:SUITE 14
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08618-2111
Practice Address - Country:US
Practice Address - Phone:609-771-0083
Practice Address - Fax:609-771-1183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0098000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health