Provider Demographics
NPI:1871034108
Name:ASSISTINGSENIORS NJ001
Entity Type:Organization
Organization Name:ASSISTINGSENIORS NJ001
Other - Org Name:ASSISTING SENIORS AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-452-0945
Mailing Address - Street 1:629 NEWARK POMPTON TPKE
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1732
Mailing Address - Country:US
Mailing Address - Phone:973-841-7100
Mailing Address - Fax:862-200-5466
Practice Address - Street 1:629 NEWARK POMPTON TPKE
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1732
Practice Address - Country:US
Practice Address - Phone:973-841-7100
Practice Address - Fax:862-200-5466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0235400251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health