Provider Demographics
NPI:1639355720
Name:BERGEN CARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:BERGEN CARE HOME HEALTH, LLC
Other - Org Name:ASCEND HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SERENA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:201-358-2666
Mailing Address - Street 1:365 W. PASSAIC STREET
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662
Mailing Address - Country:US
Mailing Address - Phone:201-358-2666
Mailing Address - Fax:201-358-0836
Practice Address - Street 1:365 W. PASSAIC STREET
Practice Address - Street 2:SUITE 115
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662
Practice Address - Country:US
Practice Address - Phone:201-358-2666
Practice Address - Fax:201-358-0836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ317082Medicare Oscar/Certification