Provider Demographics
NPI:1437910999
Name:FOREVER HEALING HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:FOREVER HEALING HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-384-5318
Mailing Address - Street 1:126 MARKET ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07505-1409
Mailing Address - Country:US
Mailing Address - Phone:973-384-5318
Mailing Address - Fax:
Practice Address - Street 1:126 MARKET ST STE 200
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07505-1409
Practice Address - Country:US
Practice Address - Phone:973-384-5318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health