Provider Demographics
NPI:1760857924
Name:RES-CARE NEW JERSEY, INC.
Entity Type:Organization
Organization Name:RES-CARE NEW JERSEY, INC.
Other - Org Name:SOOY GH
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSOC. GEN. COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:G
Authorized Official - Last Name:OMBRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-394-2100
Mailing Address - Street 1:9901 LINN STATION RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3808
Mailing Address - Country:US
Mailing Address - Phone:502-394-2100
Mailing Address - Fax:
Practice Address - Street 1:340 SOOY PLACE RD
Practice Address - Street 2:
Practice Address - City:VINCENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08088-6904
Practice Address - Country:US
Practice Address - Phone:609-801-0313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities