Provider Demographics
NPI:1851843577
Name:CENTURION ENTERPRISES
Entity Type:Organization
Organization Name:CENTURION ENTERPRISES
Other - Org Name:HOMEWELL SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:201-487-9220
Mailing Address - Street 1:15 DYATT PL
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6004
Mailing Address - Country:US
Mailing Address - Phone:201-487-9220
Mailing Address - Fax:201-487-9223
Practice Address - Street 1:15 DYATT PL
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6004
Practice Address - Country:US
Practice Address - Phone:201-487-9220
Practice Address - Fax:201-487-9223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0077800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health