Provider Demographics
NPI:1669957965
Name:CRUZ HEALTH AND CARE AT HOME, INC.
Entity type:Organization
Organization Name:CRUZ HEALTH AND CARE AT HOME, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-533-9363
Mailing Address - Street 1:8 GRAFTON CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-2116
Mailing Address - Country:US
Mailing Address - Phone:908-533-9363
Mailing Address - Fax:908-533-9365
Practice Address - Street 1:8 GRAFTON CT
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-2116
Practice Address - Country:US
Practice Address - Phone:908-533-9363
Practice Address - Fax:908-533-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0178800OtherNJ OAG LICENSING DIVISION