Provider Demographics
NPI:1790430924
Name:OAK RIDGE HEALTHCARE RESOURCES LLC
Entity Type:Organization
Organization Name:OAK RIDGE HEALTHCARE RESOURCES LLC
Other - Org Name:INTERIM HEALTHCARE OF MERCER COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:609-917-7733
Mailing Address - Street 1:100 FEDERAL CITY RD STE C-103
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1664
Mailing Address - Country:US
Mailing Address - Phone:609-917-7733
Mailing Address - Fax:609-917-7731
Practice Address - Street 1:100 FEDERAL CITY RD STE C-103
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-1664
Practice Address - Country:US
Practice Address - Phone:609-917-7733
Practice Address - Fax:609-917-7731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care