Provider Demographics
NPI:1578767380
Name:STOUFFERS HOME CARE, LLC
Entity Type:Organization
Organization Name:STOUFFERS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTERCHICK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:732-840-5566
Mailing Address - Street 1:192 JACK MARTIN BLVD
Mailing Address - Street 2:BLDG. B-4
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-7728
Mailing Address - Country:US
Mailing Address - Phone:732-840-5566
Mailing Address - Fax:732-206-0975
Practice Address - Street 1:2204 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5918
Practice Address - Country:US
Practice Address - Phone:908-624-1850
Practice Address - Fax:908-624-1854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health