Provider Demographics
NPI:1275272429
Name:PHILEO HEALTH CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:PHILEO HEALTH CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAREENA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:914-255-6212
Mailing Address - Street 1:2 MOUNTAINVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-2118
Mailing Address - Country:US
Mailing Address - Phone:914-255-6212
Mailing Address - Fax:
Practice Address - Street 1:2 MOUNTAINVIEW DR
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:NJ
Practice Address - Zip Code:07821-2118
Practice Address - Country:US
Practice Address - Phone:914-255-6212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1982263901Medicaid