Provider Demographics
NPI:1750492591
Name:VISITING CAREGIVERS OF NEW JERSEY, LLC.
Entity Type:Organization
Organization Name:VISITING CAREGIVERS OF NEW JERSEY, LLC.
Other - Org Name:VCNJ
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:TUNNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-882-5300
Mailing Address - Street 1:9 ROSETREE LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-3232
Mailing Address - Country:US
Mailing Address - Phone:609-882-5300
Mailing Address - Fax:609-882-5330
Practice Address - Street 1:9 ROSETREE LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3232
Practice Address - Country:US
Practice Address - Phone:609-882-5300
Practice Address - Fax:609-882-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0076900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health