Provider Demographics
NPI:1790295939
Name:UNITED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:UNITED HOME HEALTH CARE LLC
Other - Org Name:UNITED HOME HEALTH CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERTULIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-378-3800
Mailing Address - Street 1:14102 BAINBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4877
Mailing Address - Country:US
Mailing Address - Phone:973-652-8640
Mailing Address - Fax:973-532-6864
Practice Address - Street 1:1809 SPRINGFIELD AVE STE 201
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2901
Practice Address - Country:US
Practice Address - Phone:973-378-3800
Practice Address - Fax:973-532-6864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-02
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health