Provider Demographics
NPI:1821752304
Name:TOTALCARENJ
Entity Type:Organization
Organization Name:TOTALCARENJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEWALE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-235-6579
Mailing Address - Street 1:33 WOOD AVE S STE 600
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2717
Mailing Address - Country:US
Mailing Address - Phone:862-235-6579
Mailing Address - Fax:973-498-1336
Practice Address - Street 1:33 WOOD AVE S STE 600
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2717
Practice Address - Country:US
Practice Address - Phone:862-235-6579
Practice Address - Fax:973-498-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child