Provider Demographics
NPI:1790822740
Name:DELIGHT CARE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:DELIGHT CARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SONTS
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:732-339-0050
Mailing Address - Street 1:485 US HIGHWAY 1 S
Mailing Address - Street 2:2ND FLOOR SUITE 3
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-4491
Mailing Address - Country:US
Mailing Address - Phone:732-339-0050
Mailing Address - Fax:732-339-0065
Practice Address - Street 1:485 US HIGHWAY 1 S
Practice Address - Street 2:2ND FLOOR SUITE 3
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-4491
Practice Address - Country:US
Practice Address - Phone:732-339-0050
Practice Address - Fax:732-339-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP#0059900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0110469Medicaid