Organization
BERGEN HOME CARE AND NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PROSPER K BONUEDIE RN.,BSN (PRESIDENT)
(201) 342-3402
Entity
Organization
Contact information
Practice address
136 ESSEX STREET, HACKENSACK, NJ 07601
(201) 342-3402
(201) 342-3405
Mailing address
136 ESSEX STREET, HACKENSACK, NJ 07601
(201) 342-3402
(201) 342-3405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0022500
NJ
251J00000X
Nursing Care Agency
HP0022500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149772
—
NJ
Enumeration date
10/11/2007
Last updated
11/15/2019
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