Provider Demographics
NPI:1699045922
Name:MONMOUTH HOME HEALTH CARE
Entity Type:Organization
Organization Name:MONMOUTH HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:732-962-0179
Mailing Address - Street 1:716 NEWMAN SPRINGS RD
Mailing Address - Street 2:SUITE 132
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1523
Mailing Address - Country:US
Mailing Address - Phone:732-962-0179
Mailing Address - Fax:
Practice Address - Street 1:716 NEWMAN SPRINGS RD
Practice Address - Street 2:SUITE 132
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1523
Practice Address - Country:US
Practice Address - Phone:732-962-0179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0158500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health