Provider Demographics
NPI:1851628184
Name:THE GARDEN ADHC, LLC
Entity Type:Organization
Organization Name:THE GARDEN ADHC, LLC
Other - Org Name:THE GARDEN OF HACKENSACK ADHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O./ MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:NJCALA
Authorized Official - Phone:201-736-6428
Mailing Address - Street 1:709 13TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-6215
Mailing Address - Country:US
Mailing Address - Phone:201-736-6428
Mailing Address - Fax:
Practice Address - Street 1:147 MAIN ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-7124
Practice Address - Country:US
Practice Address - Phone:201-736-6428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care