Provider Demographics
NPI:1841405800
Name:TRISTATE HEALTH AND HOME CARE AGENCY INC
Entity Type:Organization
Organization Name:TRISTATE HEALTH AND HOME CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:MOBOLAJI
Authorized Official - Middle Name:M
Authorized Official - Last Name:AROGUNDADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-923-8887
Mailing Address - Street 1:251 OSBORNE TER
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07112-2103
Mailing Address - Country:US
Mailing Address - Phone:973-923-8887
Mailing Address - Fax:973-923-8685
Practice Address - Street 1:251 OSBORNE TER
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-2103
Practice Address - Country:US
Practice Address - Phone:973-923-8887
Practice Address - Fax:973-923-8685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0056000251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care