Provider Demographics
NPI:1013313014
Name:INTERVENTIONAL CARE LLP
Entity Type:Organization
Organization Name:INTERVENTIONAL CARE LLP
Other - Org Name:CARING MATTERS HOME CARE 030
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NORA
Authorized Official - Middle Name:ABENA
Authorized Official - Last Name:ADU-GYAMFI
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:908-265-9925
Mailing Address - Street 1:32 ELIZABETH AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07108-2828
Mailing Address - Country:US
Mailing Address - Phone:908-265-9925
Mailing Address - Fax:
Practice Address - Street 1:32 ELIZABETH AVE STE 2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-2828
Practice Address - Country:US
Practice Address - Phone:908-265-9925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0196100253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care