Provider Demographics
NPI:1700107885
Name:UNION HEALTHCARE OF NJ LLC
Entity Type:Organization
Organization Name:UNION HEALTHCARE OF NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:RN/BSN
Authorized Official - Phone:862-755-9010
Mailing Address - Street 1:1221 ERHARDT ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6248
Mailing Address - Country:US
Mailing Address - Phone:862-755-9010
Mailing Address - Fax:
Practice Address - Street 1:1221 ERHARDT ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6248
Practice Address - Country:US
Practice Address - Phone:862-755-9010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-12
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400350245251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health