Provider Demographics
NPI:1528369915
Name:TJM HEALTHCARE
Entity Type:Organization
Organization Name:TJM HEALTHCARE
Other - Org Name:BRIGHTSTAR OF MIDDLETOWN/HAZLET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-576-5966
Mailing Address - Street 1:113 E RIVER RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:RUMSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07760-1634
Mailing Address - Country:US
Mailing Address - Phone:732-576-5966
Mailing Address - Fax:732-576-5968
Practice Address - Street 1:113 E RIVER RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:RUMSON
Practice Address - State:NJ
Practice Address - Zip Code:07760-1634
Practice Address - Country:US
Practice Address - Phone:732-576-5966
Practice Address - Fax:732-576-5968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0147800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health