Provider Demographics
NPI:1972165611
Name:EVAS HOME CARE NJ LLC
Entity type:Organization
Organization Name:EVAS HOME CARE NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUCSMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-616-6267
Mailing Address - Street 1:9 9TH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1562
Mailing Address - Country:US
Mailing Address - Phone:908-616-6267
Mailing Address - Fax:732-626-6264
Practice Address - Street 1:9 9TH ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1562
Practice Address - Country:US
Practice Address - Phone:908-616-6267
Practice Address - Fax:732-626-6264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health