Theracare Of New Jersey Llc

LBN: Theracare Of New Jersey Llc
Theracare Of New Jersey Llc is an health care organization with primary practice located at 67 Walnut Ave Suite 306, Clark NJ 07066-1640. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Theracare Of New Jersey Llc can be contacted via phone (888) 311-2611, or through Calderon, John via phone (212) 564-2350.

Contact Information

Primary practice address
67 Walnut Ave Suite 306 Clark NJ 07066-1640
Phone: (888) 311-2611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Calderon, John
Phone: (212) 564-2350

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1174669626
LBN Legal business name Theracare Of New Jersey Llc
DBA Doing business as
Authorized official Calderon, John
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 11th, 2007 - about 17 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 1174669626 NPPES
New Jersey MEDICAID 0038679

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