Organization
COMPREHENSIVE HOME CARE SERVICES OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK H. MATZKIN (EXECUTIVE DIRECTOR)
(973) 378-3333
Entity
Organization
Contact information
Practice address
12 S ORANGE AVE, SOUTH ORANGE, NJ 07079-1773
(973) 763-7665
Mailing address
12 S ORANGE AVE, SOUTH ORANGE, NJ 07079-1773
(973) 763-7665
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HP0096700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112686
AETNA
NJ
05
—
5429005
—
NJ
01
—
A637645
OXFORD CONTRACT NUMBER
NJ
Enumeration date
07/26/2005
Last updated
08/22/2020
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