Organization
JERSEY CITY HOME CARE
Active
Other names
Jersey Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR SHAH (PRESIDENT)
(732) 589-9404
Entity
Organization
Contact information
Practice address
780 NEWARK AVENUE SUITE #203, JERSEY CITY, NJ 07306
(201) 222-8908
(201) 221-8397
Mailing address
780 NEWARK AVENUE SUITE #203, JERSEY CITY, NJ 07306
(201) 222-8908
(201) 221-8397
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0235300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0549622
—
NJ
Enumeration date
11/15/2016
Last updated
10/24/2018
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