Provider Demographics
NPI:1194206516
Name:PROMISE CARE OF HUDSON COUNTY LLC
Entity Type:Organization
Organization Name:PROMISE CARE OF HUDSON COUNTY LLC
Other - Org Name:PROMISE CARE NJ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-678-5500
Mailing Address - Street 1:576 CENTRAL AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1943
Mailing Address - Country:US
Mailing Address - Phone:973-678-5500
Mailing Address - Fax:
Practice Address - Street 1:2 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1006
Practice Address - Country:US
Practice Address - Phone:201-418-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROMISE CARE HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-23
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health