Provider Demographics
NPI:1497063648
Name:COMMUNITY HOSPICE OF BERGEN COUNTY, INC.
Entity Type:Organization
Organization Name:COMMUNITY HOSPICE OF BERGEN COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER; TRUSTEE; SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:MEGERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-664-0212
Mailing Address - Street 1:105 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2223
Mailing Address - Country:US
Mailing Address - Phone:201-664-0212
Mailing Address - Fax:201-664-6888
Practice Address - Street 1:105 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2223
Practice Address - Country:US
Practice Address - Phone:201-664-0212
Practice Address - Fax:201-664-6888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPENDING251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based