Provider Demographics
NPI:1457859860
Name:HEALTH CLOUD DIAGNOSTICS
Entity Type:Organization
Organization Name:HEALTH CLOUD DIAGNOSTICS
Other - Org Name:ASSISTED HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-889-0003
Mailing Address - Street 1:47 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2306
Mailing Address - Country:US
Mailing Address - Phone:908-377-1298
Mailing Address - Fax:
Practice Address - Street 1:25 AMITY ST
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1018
Practice Address - Country:US
Practice Address - Phone:800-889-0003
Practice Address - Fax:800-889-0003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSISTED HOME CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0271300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0271300OtherDIVISION OF CONSUMER AFFAIRS