Organization
CITADEL AT HOME LLC
Active
Parent organization
CITADEL AT HOME LLC
Other names
Citadel Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITADEL AT HOME LLC
Authorized official
CAROL SHAFIR RN (ADMINISTRATOR)
(917) 805-0702
Entity
Organization
Contact information
Practice address
4400 ROUTE 9 S STE 1000, FREEHOLD, NJ 07728-1383
(973) 412-3400
(973) 412-3401
Mailing address
1000 GATES AVE STE 4, BROOKLYN, NY 11221-6296
(917) 805-0702
(973) 965-0367
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP0291400
NJ OFFICE OF THE ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
06/12/2019
Last updated
07/14/2020
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