Provider Demographics
NPI:1720201874
Name:CAROUSEL OF HOME CARE
Entity Type:Organization
Organization Name:CAROUSEL OF HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS PAYABLE SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-303-0245
Mailing Address - Street 1:71 W MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2138
Mailing Address - Country:US
Mailing Address - Phone:732-303-0245
Mailing Address - Fax:732-303-8044
Practice Address - Street 1:71 W MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2138
Practice Address - Country:US
Practice Address - Phone:732-303-0245
Practice Address - Fax:732-303-8044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0204600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8443904Medicaid