Provider Demographics
NPI:1659704674
Name:D&M HOMECARE, LLC
Entity Type:Organization
Organization Name:D&M HOMECARE, LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOURGOIN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:609-545-8258
Mailing Address - Street 1:110 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:MARNORA
Mailing Address - State:NJ
Mailing Address - Zip Code:08223
Mailing Address - Country:US
Mailing Address - Phone:609-545-8258
Mailing Address - Fax:609-545-8279
Practice Address - Street 1:110 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MARMORA
Practice Address - State:NJ
Practice Address - Zip Code:08223-1442
Practice Address - Country:US
Practice Address - Phone:609-545-8258
Practice Address - Fax:609-545-8279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0151300251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health