Provider Demographics
NPI:1497131106
Name:SCK CARING HEARTS, ALH, LLC
Entity Type:Organization
Organization Name:SCK CARING HEARTS, ALH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.N.
Authorized Official - Prefix:
Authorized Official - First Name:MARICAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDANA-REMIGIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-218-6205
Mailing Address - Street 1:7 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1101
Mailing Address - Country:US
Mailing Address - Phone:201-218-6205
Mailing Address - Fax:
Practice Address - Street 1:1741 FLATWATER CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-2181
Practice Address - Country:US
Practice Address - Phone:907-433-0844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK101105310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDSDSMedicaid