Provider Demographics
NPI:1932964525
Name:YAHALOM SCA, LLC
Entity Type:Organization
Organization Name:YAHALOM SCA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANIADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-285-8444
Mailing Address - Street 1:1999 CEDARBRIDGE AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-6915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1999 CEDARBRIDGE AVE STE 3A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-6915
Practice Address - Country:US
Practice Address - Phone:732-806-9019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AGUDATH ISRAEL OF AMERICA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management