Provider Demographics
NPI:1376923318
Name:COMMANDCARE
Entity Type:Organization
Organization Name:COMMANDCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LUING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-291-1111
Mailing Address - Street 1:534 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-3112
Mailing Address - Country:US
Mailing Address - Phone:973-368-9855
Mailing Address - Fax:973-546-2924
Practice Address - Street 1:534 BROAD ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3112
Practice Address - Country:US
Practice Address - Phone:973-368-9855
Practice Address - Fax:973-546-2924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 253Z00000X
NJ251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care