Provider Demographics
NPI:1467978205
Name:IJN HEALTH SYSTEMS, LLC
Entity Type:Organization
Organization Name:IJN HEALTH SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WADIEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-752-1794
Mailing Address - Street 1:603 PARKMAN CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-4940
Mailing Address - Country:US
Mailing Address - Phone:646-752-1794
Mailing Address - Fax:
Practice Address - Street 1:262 CHAPMAN RD STE 204
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5442
Practice Address - Country:US
Practice Address - Phone:302-239-0987
Practice Address - Fax:302-307-1345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child