Provider Demographics
NPI:1043963820
Name:HAIM HOME HEALTH
Entity type:Organization
Organization Name:HAIM HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:E
Authorized Official - Last Name:DARKO
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN MA
Authorized Official - Phone:201-408-2800
Mailing Address - Street 1:550 SYLVAN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:ENGLEWD CLFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-3115
Mailing Address - Country:US
Mailing Address - Phone:201-408-2800
Mailing Address - Fax:201-408-2801
Practice Address - Street 1:550 SYLVAN AVE STE 201
Practice Address - Street 2:
Practice Address - City:ENGLEWD CLFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-3115
Practice Address - Country:US
Practice Address - Phone:201-408-2800
Practice Address - Fax:201-408-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0326700OtherDIVISION OF CONSUMER AFFAIRS