Provider Demographics
NPI:1235967712
Name:NJ CARE NURSING SERVICES LLC
Entity type:Organization
Organization Name:NJ CARE NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-358-3219
Mailing Address - Street 1:2010 N BLACK HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-9128
Mailing Address - Country:US
Mailing Address - Phone:551-358-3219
Mailing Address - Fax:
Practice Address - Street 1:2010 N BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-9128
Practice Address - Country:US
Practice Address - Phone:551-358-3219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health