Provider Demographics
NPI:1124783196
Name:POST AT HOME LLC
Entity type:Organization
Organization Name:POST AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST /CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMBANG
Authorized Official - Middle Name:
Authorized Official - Last Name:JOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-310-9785
Mailing Address - Street 1:67 S FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-2015
Mailing Address - Country:US
Mailing Address - Phone:201-310-9785
Mailing Address - Fax:201-338-8370
Practice Address - Street 1:67 S FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-2015
Practice Address - Country:US
Practice Address - Phone:201-310-9785
Practice Address - Fax:201-338-8370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty