Provider Demographics
NPI:1316734429
Name:UDACHA PCAH LLC
Entity type:Organization
Organization Name:UDACHA PCAH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FINKELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-762-5981
Mailing Address - Street 1:317 GEORGE ST STE 320
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2091
Mailing Address - Country:US
Mailing Address - Phone:848-285-6113
Mailing Address - Fax:
Practice Address - Street 1:317 GEORGE ST STE 320
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2091
Practice Address - Country:US
Practice Address - Phone:848-285-6113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health