Provider Demographics
NPI:1942734702
Name:HOUSE OF CARING HANDS, INC
Entity Type:Organization
Organization Name:HOUSE OF CARING HANDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FATUMATA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSALEE-JALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MPH
Authorized Official - Phone:347-387-8024
Mailing Address - Street 1:4 SUNSET CT
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-1803
Mailing Address - Country:US
Mailing Address - Phone:347-387-8024
Mailing Address - Fax:
Practice Address - Street 1:4 SUNSET CT
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-1803
Practice Address - Country:US
Practice Address - Phone:347-387-8024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251C00000X
320600000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities