Provider Demographics
NPI:1194851386
Name:ELDER CARE OPTIONS, LLC
Entity Type:Organization
Organization Name:ELDER CARE OPTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERSON-KANE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-848-8539
Mailing Address - Street 1:653 SHAWNEE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1023
Mailing Address - Country:US
Mailing Address - Phone:201-848-8539
Mailing Address - Fax:201-848-8539
Practice Address - Street 1:653 SHAWNEE DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-1023
Practice Address - Country:US
Practice Address - Phone:201-848-8539
Practice Address - Fax:201-848-8539
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 Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0039721Medicaid
NJ0039721Medicaid