Provider Demographics
NPI:1518751866
Name:ELDER CARE HOMECARE NJ LLC
Entity type:Organization
Organization Name:ELDER CARE HOMECARE NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-670-7100
Mailing Address - Street 1:111 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5143
Mailing Address - Country:US
Mailing Address - Phone:201-670-7100
Mailing Address - Fax:
Practice Address - Street 1:365 W PASSAIC ST STE 500
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-3005
Practice Address - Country:US
Practice Address - Phone:201-670-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health