Provider Demographics
NPI:1598239840
Name:SOMERSET HOME CARE AND MEDICAL STAFFING LLC
Entity Type:Organization
Organization Name:SOMERSET HOME CARE AND MEDICAL STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-333-9633
Mailing Address - Street 1:44 E SOMERSET ST FL 1
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-2114
Mailing Address - Country:US
Mailing Address - Phone:908-333-9633
Mailing Address - Fax:
Practice Address - Street 1:44 E SOMERSET ST FL 1
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-2114
Practice Address - Country:US
Practice Address - Phone:908-333-9633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health