Provider Demographics
NPI:1275298408
Name:PATTERSON CARING HEARTS LLC
Entity Type:Organization
Organization Name:PATTERSON CARING HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:845-800-4565
Mailing Address - Street 1:10 HAMPTON CT
Mailing Address - Street 2:
Mailing Address - City:SCOTCHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1610
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:277 FAIRFIELD RD STE 102
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-1931
Practice Address - Country:US
Practice Address - Phone:972-532-7933
Practice Address - Fax:972-532-7933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0Medicaid
NJ0OtherALL HEALTHCARE INSURANCES