Provider Demographics
NPI:1841581303
Name:BETTY NURSING SERVICE/HOME CARE INC
Entity Type:Organization
Organization Name:BETTY NURSING SERVICE/HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEAHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-567-1044
Mailing Address - Street 1:1369 NORTH AVE
Mailing Address - Street 2:SUITE 22
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-2626
Mailing Address - Country:US
Mailing Address - Phone:201-567-1044
Mailing Address - Fax:201-567-2201
Practice Address - Street 1:1219 LIBERTY AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-2055
Practice Address - Country:US
Practice Address - Phone:201-567-1044
Practice Address - Fax:201-567-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0066100251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care