Provider Demographics
NPI:1962983379
Name:PROMISE CARE OF ESSEX COUNTY LLC
Entity type:Organization
Organization Name:PROMISE CARE OF ESSEX COUNTY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-378-1000
Mailing Address - Street 1:576 CENTRAL AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1943
Mailing Address - Country:US
Mailing Address - Phone:973-678-5500
Mailing Address - Fax:
Practice Address - Street 1:576 CENTRAL AVE STE 304
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1943
Practice Address - Country:US
Practice Address - Phone:973-378-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROMISE CARE HOLDINGS II LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-23
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion