Provider Demographics
NPI:1669444667
Name:INTERIM HEALTHCARE OF HUDSON-RICHMOND, INC.
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE OF HUDSON-RICHMOND, INC.
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-864-3838
Mailing Address - Street 1:3133 CENTRAL AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2423
Mailing Address - Country:US
Mailing Address - Phone:201-864-3838
Mailing Address - Fax:201-864-0093
Practice Address - Street 1:3133 CENTRAL AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2423
Practice Address - Country:US
Practice Address - Phone:201-864-3838
Practice Address - Fax:201-864-0093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-03
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0005400251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5007500Medicaid