Provider Demographics
NPI:1629548789
Name:HMH RESIDENTIAL CARE, INC
Entity Type:Organization
Organization Name:HMH RESIDENTIAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIVERSIFIED VENTURES
Authorized Official - Prefix:MR
Authorized Official - First Name:JOESEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEMAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-751-7520
Mailing Address - Street 1:62 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3988
Mailing Address - Country:US
Mailing Address - Phone:732-906-2975
Mailing Address - Fax:
Practice Address - Street 1:62 JAMES ST
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3988
Practice Address - Country:US
Practice Address - Phone:732-906-2975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8724101Medicaid