Organization · NPI-2

Amedisys Private Duty, LLC

Home Health · Hackensack, NJ

NPI number1073944898
StatusActive
Last updated in NPPESDec 4, 2013

Details

NPI
1073944898
Entity type
Organization (NPI-2)
Legal business name
Amedisys Private Duty, LLC
Organization subpart
No
Enumeration date
Dec 4, 2013
Last updated
Dec 4, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthHP0182100NJYes
163WH0200X Registered Nurse, Home HealthHP0182100NJ

Other names

  • Community Care Services Of Hackensack, An Amedisys & Premier Partnersh (Doing Business As)

Practice location

25 E Salem St
Hackensack, NJ 07601-7427

Phone 201-880-8923

Mailing address

445 Hamilton Ave
10th Floor
White Plains, NY 10601-1807

Phone 914-428-7722 · Fax 914-428-2404

Authorized official

Gregory Turchan
Coo
9144287722

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