Provider Demographics
NPI:1073342408
Name:JERSEY FAMILY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:JERSEY FAMILY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SYLNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:551-404-0571
Mailing Address - Street 1:420 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-7113
Mailing Address - Country:US
Mailing Address - Phone:551-343-9333
Mailing Address - Fax:908-620-3881
Practice Address - Street 1:420 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-7113
Practice Address - Country:US
Practice Address - Phone:551-343-9333
Practice Address - Fax:908-620-3881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health