Provider Demographics
NPI:1558813311
Name:PARENTIS HOME CARE
Entity Type:Organization
Organization Name:PARENTIS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-204-8162
Mailing Address - Street 1:1 MEADOWLANDS PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-2150
Mailing Address - Country:US
Mailing Address - Phone:570-856-4460
Mailing Address - Fax:
Practice Address - Street 1:1 MEADOWLANDS PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:EAST RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07073-2150
Practice Address - Country:US
Practice Address - Phone:570-856-4460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care