Provider Demographics
NPI:1609992429
Name:EXCLUSIVE CARE, INC.
Entity Type:Organization
Organization Name:EXCLUSIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:PLOTKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-461-0333
Mailing Address - Street 1:2460 LEMOINE AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6231
Mailing Address - Country:US
Mailing Address - Phone:201-461-0333
Mailing Address - Fax:201-461-4713
Practice Address - Street 1:2460 LEMOINE AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6231
Practice Address - Country:US
Practice Address - Phone:201-461-0333
Practice Address - Fax:201-461-4713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0025800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8976201Medicaid