# PRIMARY CARE FOR THE HOMEBOUND PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VANGUARD MEDICAL GROUP, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609206671
- **Legal business name:** VANGUARD MEDICAL GROUP, PA
- **Authorized official:** RONISHA KATRINA SCALES (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (973) 559-3700

## Contact information

- **Practice address:** 271 GROVE AVE STE A, VERONA, NJ 07044-1731
- **Practice address phone:** (973) 239-2600
- **Practice address fax:** (833) 484-1686
- **Mailing address:** 290 W MOUNT PLEASANT AVE STE 2400, LIVINGSTON, NJ 07039-2761
- **Mailing address phone:** (973) 559-3700
- **Mailing address fax:** (833) 484-1686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25MA04268300 | NJ | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 09/01/2026