Provider Demographics
NPI:1932891470
Name:SVITANOK LLC
Entity Type:Organization
Organization Name:SVITANOK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ZORYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DERHACHOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-877-2461
Mailing Address - Street 1:42 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-6706
Mailing Address - Country:US
Mailing Address - Phone:201-877-2461
Mailing Address - Fax:
Practice Address - Street 1:42 VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-6706
Practice Address - Country:US
Practice Address - Phone:201-877-2461
Practice Address - Fax:551-288-8185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health