Provider Demographics
NPI:1407674526
Name:CARE AT HOME AGENCY
Entity type:Organization
Organization Name:CARE AT HOME AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OFOSU-KORANTENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-236-0876
Mailing Address - Street 1:213 MAIN ST STE 102A
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3221
Mailing Address - Country:US
Mailing Address - Phone:732-812-8012
Mailing Address - Fax:732-812-8093
Practice Address - Street 1:213 MAIN ST STE 102A
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3221
Practice Address - Country:US
Practice Address - Phone:732-812-8012
Practice Address - Fax:732-812-8093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health