Fivic Support Services

LBN: Fivic Support Services
Fivic Support Services is an health care organization with primary practice located at 209 Passaic Ave , Belleville NJ 07109-1960. The organization recently has 7 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Physical Therapy, Respite Care Facility / Respite Care. Agencies / Home Health is the primary health care specialty. Fivic Support Services can be contacted via phone (973) 392-0430, or through Baffoe, Ama J via phone (973) 392-0430.

Contact Information

Primary practice address
209 Passaic Ave Belleville NJ 07109-1960
Phone: (973) 392-0430
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baffoe, Ama J
Phone: (973) 392-0430

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1164132148
LBN Legal business name Fivic Support Services
DBA Doing business as
Authorized official Baffoe, Ama J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2022
Last updated Nov 30th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164132148 NPPES
New Jersey MEDICAID 1946

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