Provider Demographics
NPI:1558925503
Name:MEDICATION CALL REMINDER RESCUE
Entity Type:Organization
Organization Name:MEDICATION CALL REMINDER RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHANTALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-800-6620
Mailing Address - Street 1:PO BOX 592
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07207-0592
Mailing Address - Country:US
Mailing Address - Phone:862-285-0425
Mailing Address - Fax:
Practice Address - Street 1:471 MADISON AVE APT 5F
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-3404
Practice Address - Country:US
Practice Address - Phone:862-285-0425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care