Provider Demographics
NPI:1578059697
Name:HEALTH4HOME LLC
Entity Type:Organization
Organization Name:HEALTH4HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP, CTO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-574-6788
Mailing Address - Street 1:1706 BAY ISLE DR
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-5210
Mailing Address - Country:US
Mailing Address - Phone:610-574-6788
Mailing Address - Fax:610-594-7484
Practice Address - Street 1:1706 BAY ISLE DR
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-5210
Practice Address - Country:US
Practice Address - Phone:610-574-6788
Practice Address - Fax:610-594-7484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health