Provider Demographics
NPI:1821866765
Name:WSW HOME CARE INC.
Entity Type:Organization
Organization Name:WSW HOME CARE INC.
Other - Org Name:FIRSTLIGHT HOME CARE OF WESTERN ESSEX COUNTY NEW JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-763-1421
Mailing Address - Street 1:10 BELLEGROVE DR
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-2527
Mailing Address - Country:US
Mailing Address - Phone:214-763-1421
Mailing Address - Fax:
Practice Address - Street 1:10 BELLEGROVE DR
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-2527
Practice Address - Country:US
Practice Address - Phone:214-763-1421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health