Jersey Stake LLC
In Home Supportive Care in Fort Lee, New Jersey
1093444721- Practice location
- 2125 Center Ave Ste 110, Fort Lee, NJ 07024-5821
- Phone
- 201-242-0305
- Fax
- 201-242-0345
- Last updated
- January 12, 2023
Jersey Stake LLC is a healthcare organization based in Fort Lee, NJ. Jersey Stake LLC practices in Fort Lee, NJ. The NPI Number for Jersey Stake LLC is 1093444721. The current practice location address for Jersey Stake LLC is 2125 Center Ave Ste 110, Fort Lee, NJ 07024-5821 and can be reached out via phone at 201-242-0305 and via fax at 201-242-0345.
Provider Profile Details
- NPI Number
- 1093444721
- Provider Name
- Jersey Stake LLC
- Provider Entity Type
- Organization
- Address
- 2125 Center Ave Ste 110, Fort Lee, NJ 07024-5821
- Phone Number
- 201-242-0305
- Fax Number
- 201-242-0345
- Primary Taxonomy
- In Home Supportive Care · 253Z00000X
- Organization Subpart
- No
- Authorized Official
- Michael Tucci · President · 201-242-0305
- Other Names
- Visiting Angels Of Fort Lee (Doing Business As)
- Provider Enumeration Date
- June 8, 2022
- Last Update Date
- January 12, 2023
- Certification Date
- January 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2125 Center Ave Ste 110
Fort Lee, NJ 07024-5821 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-5821
- Phone Number
- 201-242-0305
- Fax Number
- 201-242-0345
Provider Business Mailing Address Details
- Address
- 19 Orchard Pl
Hawthorne, NJ 07506-3123 - City
- Hawthorne
- State
- NJ
- Zip
- 07506-3123
License Information
- Taxonomy (1)
- Home Health · 251E00000X
- Taxonomy (2)
- In Home Supportive Care · 253Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jersey Stake LLC?
The NPI number of Jersey Stake LLC is 1093444721. It was assigned on June 8, 2022 and is currently active in the NPPES registry.
What is the specialty of Jersey Stake LLC?
Jersey Stake LLC is registered under the primary taxonomy In Home Supportive Care (code 253Z00000X).
Where does Jersey Stake LLC practice?
The practice location is 2125 Center Ave Ste 110, Fort Lee, NJ 07024-5821. The office can be reached at 201-242-0305 (phone) or 201-242-0345 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093444721 directly on the NPPES registry website.