Provider Demographics
NPI:1407971617
Name:VISITING HOMEMAKER SERVICE OF OCEAN COUNTY INC.
Entity Type:Organization
Organization Name:VISITING HOMEMAKER SERVICE OF OCEAN COUNTY INC.
Other - Org Name:VISITING HOMECARE SERVICE OF OCEAN COUNTY INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN,CSW, MA
Authorized Official - Phone:732-244-5565
Mailing Address - Street 1:105 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-3212
Mailing Address - Country:US
Mailing Address - Phone:732-244-5565
Mailing Address - Fax:732-341-7402
Practice Address - Street 1:105 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-3212
Practice Address - Country:US
Practice Address - Phone:732-244-5565
Practice Address - Fax:732-341-7402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0108404251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0067601Medicaid