Provider Demographics
NPI:1316515703
Name:INDEPENDENT HOME CARE SERVICES
Entity type:Organization
Organization Name:INDEPENDENT HOME CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CATIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORELIEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:908-868-8387
Mailing Address - Street 1:153 E HIGHLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203-2644
Mailing Address - Country:US
Mailing Address - Phone:908-868-8387
Mailing Address - Fax:
Practice Address - Street 1:153 E HIGHLAND PKWY
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-2644
Practice Address - Country:US
Practice Address - Phone:908-868-8387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care