Provider Demographics
NPI:1972742419
Name:ACUTE CARE EXPERTS OF PENNSYLVANIA LLC
Entity Type:Organization
Organization Name:ACUTE CARE EXPERTS OF PENNSYLVANIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:732-390-5000
Mailing Address - Street 1:1 RACE TRACK RD
Mailing Address - Street 2:B104
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3870
Mailing Address - Country:US
Mailing Address - Phone:732-390-5000
Mailing Address - Fax:732-390-5400
Practice Address - Street 1:245 ESTATES DRIVE
Practice Address - Street 2:
Practice Address - City:GIBSONA
Practice Address - State:PA
Practice Address - Zip Code:15504-0000
Practice Address - Country:US
Practice Address - Phone:724-502-4460
Practice Address - Fax:724-502-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA919964R1251B00000X, 251E00000X
251F00000X, 251J00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare