Provider Demographics
NPI:1255454716
Name:SUPPORTIVE CARE, INC.
Entity Type:Organization
Organization Name:SUPPORTIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-482-6630
Mailing Address - Street 1:383 KINGS HWY N
Mailing Address - Street 2:SUITE 213
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1014
Mailing Address - Country:US
Mailing Address - Phone:856-482-6630
Mailing Address - Fax:856-482-6632
Practice Address - Street 1:383 KINGS HWY N
Practice Address - Street 2:SUITE 213
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1014
Practice Address - Country:US
Practice Address - Phone:856-482-6630
Practice Address - Fax:856-482-6632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0030100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health