Provider Demographics
NPI:1407266547
Name:LOWDEL HOMECARE LLC
Entity Type:Organization
Organization Name:LOWDEL HOMECARE LLC
Other - Org Name:FIRSTLIGHT HOMECARE OF BERGEN NJ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BOYD
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-345-3398
Mailing Address - Street 1:201 ROCK RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-1746
Mailing Address - Country:US
Mailing Address - Phone:201-345-3398
Mailing Address - Fax:201-345-3449
Practice Address - Street 1:201 ROCK RD
Practice Address - Street 2:SUITE 214
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-1746
Practice Address - Country:US
Practice Address - Phone:201-345-3398
Practice Address - Fax:201-345-3449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0174700251E00000X, 251X00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251X00000XAgenciesSupports Brokerage