Provider Demographics
NPI:1962214171
Name:HEMISPHERE DEVELOPMENT CARE INSTITUTE LLC
Entity type:Organization
Organization Name:HEMISPHERE DEVELOPMENT CARE INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SKEETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-730-2565
Mailing Address - Street 1:111 TOWN SQUARE PL STE 1238
Mailing Address - Street 2:#960409
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310
Mailing Address - Country:US
Mailing Address - Phone:201-730-2565
Mailing Address - Fax:609-237-0431
Practice Address - Street 1:513 TINDALL AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-5340
Practice Address - Country:US
Practice Address - Phone:201-730-2565
Practice Address - Fax:609-237-0431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care