Provider Demographics
NPI:1215405600
Name:RMR HOME CARE LLC DBA HOME HELPERS AND DIRECT LINK
Entity Type:Organization
Organization Name:RMR HOME CARE LLC DBA HOME HELPERS AND DIRECT LINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROQUE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:862-201-3121
Mailing Address - Street 1:182 KINGSLAND ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1120
Mailing Address - Country:US
Mailing Address - Phone:862-201-3121
Mailing Address - Fax:
Practice Address - Street 1:101 HUDSON ST STE 2100
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3929
Practice Address - Country:US
Practice Address - Phone:347-920-8333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0450283581OtherCERTIFICATE OF FORMATION