Provider Demographics
NPI:1972709731
Name:ALERT HOME SERVICES, INC
Entity Type:Organization
Organization Name:ALERT HOME SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-736-1426
Mailing Address - Street 1:1 LINCOLN HWY STE 12
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3962
Mailing Address - Country:US
Mailing Address - Phone:973-736-1426
Mailing Address - Fax:973-325-1132
Practice Address - Street 1:1 LINCOLN HWY STE 12
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3962
Practice Address - Country:US
Practice Address - Phone:973-736-1426
Practice Address - Fax:973-325-1132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHPO227200251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7901402Medicaid