Provider Demographics
NPI:1639294812
Name:HHCH HEALTH CARE
Entity Type:Organization
Organization Name:HHCH HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUTOYARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-587-1172
Mailing Address - Street 1:221 WEST ST. GEORGES AVE.
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036
Mailing Address - Country:US
Mailing Address - Phone:908-587-1172
Mailing Address - Fax:908-587-1355
Practice Address - Street 1:221 WEST ST. GEORGES AVE.
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036
Practice Address - Country:US
Practice Address - Phone:908-587-1172
Practice Address - Fax:908-587-1355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0227800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7791003Medicaid