Provider Demographics
NPI:1598117715
Name:AT HOME CARE, INC.
Entity Type:Organization
Organization Name:AT HOME CARE, INC.
Other - Org Name:PREFERRED CARE AT HOME OF NW NEW JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-230-3379
Mailing Address - Street 1:143 LAKESIDE BLVD
Mailing Address - Street 2:STE 8
Mailing Address - City:LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:07850-1123
Mailing Address - Country:US
Mailing Address - Phone:973-512-5131
Mailing Address - Fax:973-810-2245
Practice Address - Street 1:143 LAKESIDE BLVD
Practice Address - Street 2:STE 8
Practice Address - City:LANDING
Practice Address - State:NJ
Practice Address - Zip Code:07850-1123
Practice Address - Country:US
Practice Address - Phone:973-512-5131
Practice Address - Fax:973-810-2245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0168700251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health