Provider Demographics
NPI:1528698453
Name:HIGH CLASS HOME HEALTH CARE
Entity type:Organization
Organization Name:HIGH CLASS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUISSERETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-616-2713
Mailing Address - Street 1:127A ROSELAND AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-5903
Mailing Address - Country:US
Mailing Address - Phone:201-616-2713
Mailing Address - Fax:
Practice Address - Street 1:127A ROSELAND AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5903
Practice Address - Country:US
Practice Address - Phone:201-616-2713
Practice Address - Fax:201-918-2484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-20
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health