Provider Demographics
NPI:1437116928
Name:VNA HEALTH GROUP OF NEW JERSEY, LLC
Entity Type:Organization
Organization Name:VNA HEALTH GROUP OF NEW JERSEY, LLC
Other - Org Name:VNA OF CENTRAL JERSEY HOME CARE AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYLORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-862-3330
Mailing Address - Street 1:23 MAIN STREET
Mailing Address - Street 2:SUITE D1
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2136
Mailing Address - Country:US
Mailing Address - Phone:732-224-6914
Mailing Address - Fax:732-784-9710
Practice Address - Street 1:1433 HOOPER AVENUE
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6813
Practice Address - Country:US
Practice Address - Phone:732-818-6872
Practice Address - Fax:732-784-9916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22746,22418251G00000X
NJ22746251G00000X
NJ22418251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ22418OtherHOSPICE LICENSES
NJ22746OtherHOSPICE LICENSES
NJ0550060Medicaid