Provider Demographics
NPI:1518346279
Name:PARTNERS THAT CARE
Entity Type:Organization
Organization Name:PARTNERS THAT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:WAHRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:862-252-6530
Mailing Address - Street 1:419 NORTHFIELD AVE
Mailing Address - Street 2:2A
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3091
Mailing Address - Country:US
Mailing Address - Phone:862-252-6530
Mailing Address - Fax:862-252-6676
Practice Address - Street 1:2 SHERIDAN AVE
Practice Address - Street 2:2A
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052
Practice Address - Country:US
Practice Address - Phone:862-252-6530
Practice Address - Fax:862-252-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP020500251J00000X
253Z00000X
NJHP0205000374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty