Provider Demographics
NPI:1316506660
Name:3A HOMECARE AGENCY, INC.
Entity type:Organization
Organization Name:3A HOMECARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NEDELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENABOSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-752-1874
Mailing Address - Street 1:1952 US HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08805-1545
Mailing Address - Country:US
Mailing Address - Phone:732-752-1874
Mailing Address - Fax:732-752-1481
Practice Address - Street 1:1952 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805-1545
Practice Address - Country:US
Practice Address - Phone:732-752-1874
Practice Address - Fax:732-752-1481
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:3A HOMECARE AGENCY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty