Provider Demographics
NPI:1912380841
Name:VISITING AIDE OF NEW JERSEY LLC
Entity Type:Organization
Organization Name:VISITING AIDE OF NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:HALA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-753-9750
Mailing Address - Street 1:4000 BORDENTOWN AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-2752
Mailing Address - Country:US
Mailing Address - Phone:732-753-9750
Mailing Address - Fax:732-753-9752
Practice Address - Street 1:4000 BORDENTOWN AVE STE 8
Practice Address - Street 2:
Practice Address - City:SAYREVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08872-2752
Practice Address - Country:US
Practice Address - Phone:732-753-9750
Practice Address - Fax:732-753-9752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0197100253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care