Provider Demographics
NPI:1790017754
Name:PERSONAL CARE AT HOME INC.
Entity Type:Organization
Organization Name:PERSONAL CARE AT HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AAKEFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANGAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-686-0200
Mailing Address - Street 1:2816 MORRIS AVE
Mailing Address - Street 2:SUITE # 37
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4849
Mailing Address - Country:US
Mailing Address - Phone:908-686-0200
Mailing Address - Fax:908-739-0902
Practice Address - Street 1:2816 MORRIS AVE
Practice Address - Street 2:SUITE # 37
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-4849
Practice Address - Country:US
Practice Address - Phone:908-686-0200
Practice Address - Fax:908-739-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP012600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ333OtherCAHC