Provider Demographics
NPI:1114331287
Name:HELP AT HOME SERVICES
Entity Type:Organization
Organization Name:HELP AT HOME SERVICES
Other - Org Name:COMMUNITY CHOICE OF NEW JERSEY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:KITELE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, APN
Authorized Official - Phone:973-897-6881
Mailing Address - Street 1:15-01 BROADWAY STE 10C
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-6018
Mailing Address - Country:US
Mailing Address - Phone:973-897-6881
Mailing Address - Fax:973-910-3580
Practice Address - Street 1:15-01 BROADWAY STE 10C
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-6018
Practice Address - Country:US
Practice Address - Phone:973-897-6881
Practice Address - Fax:973-910-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0150000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health