Provider Demographics
NPI:1558630780
Name:USADULT CARE, LLC
Entity Type:Organization
Organization Name:USADULT CARE, LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-901-5500
Mailing Address - Street 1:1970 SWARTHMORE AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4553
Mailing Address - Country:US
Mailing Address - Phone:732-901-5500
Mailing Address - Fax:732-901-5020
Practice Address - Street 1:1970 SWARTHMORE AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4553
Practice Address - Country:US
Practice Address - Phone:732-901-5500
Practice Address - Fax:732-901-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0073900253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care