Provider Demographics
NPI:1679067433
Name:PARKER HOME AND COMMUNITY BASED SERVICES INC
Entity Type:Organization
Organization Name:PARKER HOME AND COMMUNITY BASED SERVICES INC
Other - Org Name:PARKER AT MONROE ADULT DAY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR HCBS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:KOVALTCHOUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-418-8615
Mailing Address - Street 1:443 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-1914
Mailing Address - Country:US
Mailing Address - Phone:732-418-8615
Mailing Address - Fax:
Practice Address - Street 1:200 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-5532
Practice Address - Country:US
Practice Address - Phone:609-655-6853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ83001261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care