Provider Demographics
NPI:1700338225
Name:1-800-L CARE 4 U
Entity Type:Organization
Organization Name:1-800-L CARE 4 U
Other - Org Name:1-800-L CARE 4 U
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-670-6784
Mailing Address - Street 1:57 COOPER ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-4650
Mailing Address - Country:US
Mailing Address - Phone:267-670-6784
Mailing Address - Fax:856-202-5640
Practice Address - Street 1:57 COOPER ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-4650
Practice Address - Country:US
Practice Address - Phone:267-670-6784
Practice Address - Fax:856-202-5640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ800316618Medicaid