Provider Demographics
NPI:1831234186
Name:RICHMAR HEALTH CARE ASSOC., LLC
Entity type:Organization
Organization Name:RICHMAR HEALTH CARE ASSOC., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMENNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-389-0021
Mailing Address - Street 1:516 HAMBURG TURNPKE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470
Mailing Address - Country:US
Mailing Address - Phone:973-389-0021
Mailing Address - Fax:973-389-0555
Practice Address - Street 1:516 HAMBURG TURNPKE
Practice Address - Street 2:SUITE 10
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-389-0021
Practice Address - Fax:973-389-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment