Organization
COMPREHENSIVE HOME CARE SERVICES OF NJ
Active
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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