Provider Demographics
NPI:1326274150
Name:JEREN ENTERPRISES
Entity Type:Organization
Organization Name:JEREN ENTERPRISES
Other - Org Name:COMFORCARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-820-4200
Mailing Address - Street 1:354 STATE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5530
Mailing Address - Country:US
Mailing Address - Phone:201-820-4200
Mailing Address - Fax:
Practice Address - Street 1:354 STATE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5530
Practice Address - Country:US
Practice Address - Phone:201-820-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0124600253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care