Provider Demographics
NPI:1841570421
Name:MARTHA'S HEALTH AND HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:MARTHA'S HEALTH AND HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEELAMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, APN (NP)
Authorized Official - Phone:201-225-0014
Mailing Address - Street 1:377 WILLARD ROAD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4628
Mailing Address - Country:US
Mailing Address - Phone:201-225-0014
Mailing Address - Fax:201-483-9261
Practice Address - Street 1:377 WILLARD ROAD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4628
Practice Address - Country:US
Practice Address - Phone:201-225-0014
Practice Address - Fax:201-483-9261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR10426500163W00000X
NJHP0156000251E00000X
NJ26NJ00248200363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251E00000XAgenciesHome Health