Provider Demographics
NPI:1467210336
Name:PARKER HOME AND COMMUNITY BASED SERVICES, INC
Entity Type:Organization
Organization Name:PARKER HOME AND COMMUNITY BASED SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL SERVICES MGR
Authorized Official - Prefix:
Authorized Official - First Name:YULIER
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-418-8618
Mailing Address - Street 1:1421 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5818
Mailing Address - Country:US
Mailing Address - Phone:732-545-8330
Mailing Address - Fax:732-909-2489
Practice Address - Street 1:1421 RIVER RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5818
Practice Address - Country:US
Practice Address - Phone:732-545-8330
Practice Address - Fax:732-909-2489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care