Provider Demographics
NPI:1669240024
Name:HEALTH SURE LLC
Entity type:Organization
Organization Name:HEALTH SURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:POONAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GULATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-387-8870
Mailing Address - Street 1:77 MILLTOWN RD STE C8
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2302
Mailing Address - Country:US
Mailing Address - Phone:732-870-8870
Mailing Address - Fax:732-387-8968
Practice Address - Street 1:77 MILLTOWN RD
Practice Address - Street 2:SUITE C#8
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2302
Practice Address - Country:US
Practice Address - Phone:732-387-8870
Practice Address - Fax:732-387-8968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health