Provider Demographics
NPI:1912945916
Name:VISITING NURSE ASSOCIATION OF CENTRAL JERSEY PERSONAL CARE, INC
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF CENTRAL JERSEY PERSONAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF-LEGAL AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIAPPINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-224-6914
Mailing Address - Street 1:176 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1063
Mailing Address - Country:US
Mailing Address - Phone:732-224-6891
Mailing Address - Fax:732-224-0843
Practice Address - Street 1:176 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1063
Practice Address - Country:US
Practice Address - Phone:732-224-6891
Practice Address - Fax:732-224-0843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0099800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3688445Medicaid
NJHP0099800OtherHEALTH CARE SVCS. FIRM LICE