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Organization
INDEPENDENT HOME CARE
Active
Organization
INDEPENDENT HOME CARE
Active
Other names
Independent Home Care, LLC, Independent Home Care & Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE DERENONCOURT RN (OWNER)
(908) 603-6277
Entity
Organization
Contact information
Practice address
20 COMMERCE DR STE 135, CRANFORD, NJ 07016-3614
(908) 603-6277
(516) 706-0839
Mailing address
20 COMMERCE DR STE 135, CRANFORD, NJ 07016-3614
(908) 603-6277
(516) 706-0839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251T00000X
PACE Provider Organization
—
NULL
364SA2200X
Adult Health Clinical Nurse Specialist
—
NULL
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
NULL
364SH0200X
Home Health Clinical Nurse Specialist
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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