Provider Demographics
NPI:1306133277
Name:CARING HOME THERAPY SERVICES,LLC
Entity type:Organization
Organization Name:CARING HOME THERAPY SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ALBUQUERQUE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:862-812-6433
Mailing Address - Street 1:154 ANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1003
Mailing Address - Country:US
Mailing Address - Phone:862-812-6433
Mailing Address - Fax:
Practice Address - Street 1:154 ANDOVER RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1003
Practice Address - Country:US
Practice Address - Phone:862-812-6433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA011921002251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty