Provider Demographics
NPI:1285248625
Name:CONTINUUM HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:CONTINUUM HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEKINAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:856-562-6845
Mailing Address - Street 1:167 ECHELON RD APT 2
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1835
Mailing Address - Country:US
Mailing Address - Phone:856-562-6845
Mailing Address - Fax:
Practice Address - Street 1:113 WHITE HORSE RD W STE 4
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3671
Practice Address - Country:US
Practice Address - Phone:856-272-7229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1285248625Medicaid