Provider Demographics
NPI:1194083840
Name:YOUR WAY HOME CARE LLC
Entity type:Organization
Organization Name:YOUR WAY HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLOGNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-241-8424
Mailing Address - Street 1:36 MOUNTAINVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6732
Mailing Address - Country:US
Mailing Address - Phone:973-241-8424
Mailing Address - Fax:973-287-3473
Practice Address - Street 1:36 MOUNTAINVIEW BLVD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6732
Practice Address - Country:US
Practice Address - Phone:973-241-8424
Practice Address - Fax:973-287-3473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0163200251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health