Provider Demographics
NPI:1821348798
Name:RESIDENT AIDES LLC
Entity Type:Organization
Organization Name:RESIDENT AIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLTON
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-931-0109
Mailing Address - Street 1:16 SOUTH AVE W
Mailing Address - Street 2:SUITE 234
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2695
Mailing Address - Country:US
Mailing Address - Phone:908-931-0109
Mailing Address - Fax:908-931-0109
Practice Address - Street 1:93 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-2811
Practice Address - Country:US
Practice Address - Phone:908-931-0109
Practice Address - Fax:908-931-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP015900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health