Provider Demographics
NPI:1457023228
Name:IMT HEALTHCARE LLC
Entity Type:Organization
Organization Name:IMT HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P/CFO
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-576-9144
Mailing Address - Street 1:1 SUSSEX PL
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-3645
Mailing Address - Country:US
Mailing Address - Phone:609-576-9144
Mailing Address - Fax:
Practice Address - Street 1:1 SUSSEX PL
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-3645
Practice Address - Country:US
Practice Address - Phone:609-576-9144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health