Organization
AMEDISYS PRIVATE DUTY, LLC
Active
Other names
Community Care Services of Hackensack, an Amedisys & Premier Partnersh
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY TURCHAN MSW, MPA (COO)
(914) 428-7722
Entity
Organization
Contact information
Practice address
25 E SALEM ST, HACKENSACK, NJ 07601-7427
(201) 880-8923
Mailing address
445 HAMILTON AVE, 10TH FLOOR, WHITE PLAINS, NY 10601-1807
(914) 428-7722
(914) 428-2404
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
HP0182100
NJ
251E00000X
Home Health Agency
Primary
HP0182100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP0182100
LICENSE
NJ
Enumeration date
12/04/2013
Last updated
12/04/2013
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