Provider Demographics
NPI:1467582254
Name:TRY US HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:TRY US HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:BALFOUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-655-1194
Mailing Address - Street 1:159 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-1913
Mailing Address - Country:US
Mailing Address - Phone:973-655-1194
Mailing Address - Fax:973-655-1195
Practice Address - Street 1:159 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-1913
Practice Address - Country:US
Practice Address - Phone:973-655-1194
Practice Address - Fax:973-655-1195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0085500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5043905Medicaid