# AT HOME WITH VAN DYK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417522210
- **Authorized official:** DONNA MELCHIONDA (CFO)
- **Authorized official phone:** (201) 689-7991

## Contact information

- **Practice address:** 288 S VAN DIEN AVE \# D, RIDGEWOOD, NJ 07450-5226
- **Practice address phone:** (201) 444-4257
- **Practice address fax:** (201) 689-7980
- **Mailing address:** 644 GOFFLE RD, HAWTHORNE, NJ 07506-3452
- **Mailing address phone:** (973) 238-4339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2021
- **Last updated:** 05/24/2021