Provider Demographics
NPI:1710694500
Name:MINCARELLI HOMECARE L.L.C.
Entity Type:Organization
Organization Name:MINCARELLI HOMECARE L.L.C.
Other - Org Name:VISITING ANGELS OF CHERRY HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MINCARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-493-5548
Mailing Address - Street 1:1930 MARLTON PIKE E STE L61
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-4201
Mailing Address - Country:US
Mailing Address - Phone:484-948-7141
Mailing Address - Fax:
Practice Address - Street 1:1930 MARLTON PIKE E STE L61
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-4201
Practice Address - Country:US
Practice Address - Phone:484-948-7141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health