Provider Demographics
NPI:1629244736
Name:DE CEE HOME HEALTH AID LLC
Entity Type:Organization
Organization Name:DE CEE HOME HEALTH AID LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:
Authorized Official - Last Name:IHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-563-8916
Mailing Address - Street 1:22-24 UNION AVE 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111
Mailing Address - Country:US
Mailing Address - Phone:201-563-8916
Mailing Address - Fax:
Practice Address - Street 1:22-24 UNION AVE 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111
Practice Address - Country:US
Practice Address - Phone:201-563-8916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP113700320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities