Provider Demographics
NPI:1790496677
Name:HAMANICARE LLC
Entity Type:Organization
Organization Name:HAMANICARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LAVON
Authorized Official - Last Name:HAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-816-0731
Mailing Address - Street 1:1545 MADISON CT
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2804
Mailing Address - Country:US
Mailing Address - Phone:609-816-0731
Mailing Address - Fax:
Practice Address - Street 1:707 WHITE HORSE PIKE STE B6
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-1461
Practice Address - Country:US
Practice Address - Phone:609-816-0731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty