Organization
ICARE HOME HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBIOMA MARYANN ASIEGBU RN BSN (CLINICAL DIRECTOR)
(609) 380-2256
Entity
Organization
Contact information
Practice address
408 BETHEL RD STE B-4, SOMERS POINT, NJ 08244-2183
(609) 380-2256
(844) 422-7373
Mailing address
408 BETHEL RD STE B-4, SOMERS POINT, NJ 08244-2183
(609) 380-2256
(844) 422-7373
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0202700
NJ
251J00000X
Nursing Care Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0523712
—
NJ
01
—
408
PRIVATE PAY
NJ
Enumeration date
04/24/2015
Last updated
02/19/2020
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