Provider Demographics
NPI:1992165005
Name:MJR CARE SERVICES INC
Entity type:Organization
Organization Name:MJR CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:REDSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-243-9669
Mailing Address - Street 1:2025 LINCOLN HWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3350
Mailing Address - Country:US
Mailing Address - Phone:732-243-9669
Mailing Address - Fax:732-243-9673
Practice Address - Street 1:2025 LINCOLN HWY
Practice Address - Street 2:SUITE 150
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3350
Practice Address - Country:US
Practice Address - Phone:732-243-9669
Practice Address - Fax:732-243-9673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0186100253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0186100OtherNJ DIVISION OF CONSUMER AFFAIRS