# AMEDISYS PRIVATE DUTY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Care Services of Hackensack, an Amedisys & Premier Partnersh
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073944898
- **Authorized official:** MR. GREGORY TURCHAN MSW, MPA (COO)
- **Authorized official phone:** (914) 428-7722

## Contact information

- **Practice address:** 25 E SALEM ST, HACKENSACK, NJ 07601-7427
- **Practice address phone:** (201) 880-8923
- **Mailing address:** 445 HAMILTON AVE, 10TH FLOOR, WHITE PLAINS, NY 10601-1807
- **Mailing address phone:** (914) 428-7722
- **Mailing address fax:** (914) 428-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | HP0182100 | NJ | — |
| 251E00000X | Home Health Agency | HP0182100 | NJ | Yes |

## Other

- **Enumeration date:** 12/04/2013
- **Last updated:** 12/04/2013