Provider Demographics
NPI:1699215210
Name:PARAGON POINT HOME CARE LLC
Entity Type:Organization
Organization Name:PARAGON POINT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:IFEOMA
Authorized Official - Last Name:OKAFOR OHAMADIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-258-0856
Mailing Address - Street 1:8 TROY COURT
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040
Mailing Address - Country:US
Mailing Address - Phone:908-258-0856
Mailing Address - Fax:908-258-8572
Practice Address - Street 1:1652 STUYVESANT AVENUE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:908-258-0856
Practice Address - Fax:908-258-8572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25Medicare UPIN
NJ25Medicare PIN