Provider Demographics
NPI: | 1851677892 |
---|---|
Name: | PCLP, LLC |
Entity Type: | Organization |
Organization Name: | PCLP, LLC |
Other - Org Name: | SENIOR HELPERS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | MANAGING MEMBER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | PHILIP |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CERRUTI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 201-636-2651 |
Mailing Address - Street 1: | 186 PATERSON AVE |
Mailing Address - Street 2: | SUITE 302 |
Mailing Address - City: | EAST RUTHERFORD |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07073-1837 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 201-636-2651 |
Mailing Address - Fax: | 201-896-0880 |
Practice Address - Street 1: | 186 PATERSON AVE |
Practice Address - Street 2: | SUITE 302 |
Practice Address - City: | EAST RUTHERFORD |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07073-1837 |
Practice Address - Country: | US |
Practice Address - Phone: | 201-636-2651 |
Practice Address - Fax: | 201-896-0880 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-10-21 |
Last Update Date: | 2011-10-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | HP0153500 | 253Z00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care |