Provider Demographics
NPI:1720538044
Name:CALIBER HOME HEALTH CARE
Entity Type:Organization
Organization Name:CALIBER HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MANNY
Authorized Official - Middle Name:ELIAS
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-515-1983
Mailing Address - Street 1:15 PARK AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1743
Mailing Address - Country:US
Mailing Address - Phone:844-515-1983
Mailing Address - Fax:844-515-1984
Practice Address - Street 1:15 PARK AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1743
Practice Address - Country:US
Practice Address - Phone:844-515-1983
Practice Address - Fax:844-515-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251J00000X, 251S00000X
NJHP0249200251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care