Provider Demographics
NPI:1144356346
Name:CARECONNECTION. INC
Entity type:Organization
Organization Name:CARECONNECTION. INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBILA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LNHA, CSW
Authorized Official - Phone:856-845-1976
Mailing Address - Street 1:227 ALVINE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSGROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:08318-4625
Mailing Address - Country:US
Mailing Address - Phone:856-845-1976
Mailing Address - Fax:856-845-3743
Practice Address - Street 1:551 N EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1855
Practice Address - Country:US
Practice Address - Phone:856-845-1976
Practice Address - Fax:856-845-3743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJQX8PCO261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8647003Medicaid