Provider Demographics
NPI:1942332507
Name:HOMEFIRST HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:HOMEFIRST HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J. ROBENSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-629-9200
Mailing Address - Street 1:1139 E JERSEY ST STE 506
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-2444
Mailing Address - Country:US
Mailing Address - Phone:908-629-9200
Mailing Address - Fax:908-629-9298
Practice Address - Street 1:1139 E JERSEY ST STE 506
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2444
Practice Address - Country:US
Practice Address - Phone:908-629-9200
Practice Address - Fax:908-629-9298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0060569Medicaid