Provider Demographics
NPI:1356033492
Name:OUTFRONT HOME CARE LLC
Entity type:Organization
Organization Name:OUTFRONT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GOODWEATHER
Authorized Official - Middle Name:NAA KWARLEY
Authorized Official - Last Name:QUARTEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:908-557-5961
Mailing Address - Street 1:2810 MORRIS AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4841
Mailing Address - Country:US
Mailing Address - Phone:908-557-5961
Mailing Address - Fax:908-964-6979
Practice Address - Street 1:2810 MORRIS AVE STE 304
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-4841
Practice Address - Country:US
Practice Address - Phone:908-557-5961
Practice Address - Fax:908-964-6979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty