Provider Demographics
NPI:1407948219
Name:VISITING HOMEMAKER SERVICE OF PASSAIC COUNTY
Entity Type:Organization
Organization Name:VISITING HOMEMAKER SERVICE OF PASSAIC COUNTY
Other - Org Name:HOMECARE OPTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILBERNAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, RN
Authorized Official - Phone:973-523-1224
Mailing Address - Street 1:2000 SIENA VLG
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3590
Mailing Address - Country:US
Mailing Address - Phone:973-523-1224
Mailing Address - Fax:973-523-5228
Practice Address - Street 1:2000 SIENA VLG
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3590
Practice Address - Country:US
Practice Address - Phone:973-523-1224
Practice Address - Fax:973-523-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0108500251E00000X
NJ251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0082503Medicaid