Provider Demographics
NPI:1447788005
Name:MEGA HOME CARE AGENCY
Entity Type:Organization
Organization Name:MEGA HOME CARE AGENCY
Other - Org Name:MEGA GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MURPHY
Authorized Official - Middle Name:
Authorized Official - Last Name:OMORUYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-232-6180
Mailing Address - Street 1:99 MORRIS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1421
Mailing Address - Country:US
Mailing Address - Phone:973-232-6180
Mailing Address - Fax:973-232-6340
Practice Address - Street 1:99 MORRIS AVE STE 102
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1421
Practice Address - Country:US
Practice Address - Phone:973-232-6180
Practice Address - Fax:973-232-6340
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEGA HOME CARE AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0257900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health