Provider Demographics
NPI:1174205892
Name:AGAPE TOUCH LLC DBA PREFERRED CARE AT HOME OF NORTHEAST NEW JERSEY
Entity type:Organization
Organization Name:AGAPE TOUCH LLC DBA PREFERRED CARE AT HOME OF NORTHEAST NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RATTTRAY-ST JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-943-3646
Mailing Address - Street 1:109 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1362
Mailing Address - Country:US
Mailing Address - Phone:973-783-4663
Mailing Address - Fax:973-814-9820
Practice Address - Street 1:109 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1362
Practice Address - Country:US
Practice Address - Phone:973-783-4663
Practice Address - Fax:973-814-9820
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AGAPE TOUCH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty