Bedrock At Home New Jersey LLC
In Home Supportive Care in Marlton, New Jersey
1104525989- Practice location
- 1 Holtec Dr Ste 203, Marlton, NJ 08053-3402
- Phone
- 856-874-7800
- Fax
- 908-955-9419
- Last updated
- February 27, 2024
Bedrock At Home New Jersey LLC is a healthcare organization based in Marlton, NJ. Bedrock At Home New Jersey LLC practices in Marlton, NJ. The NPI Number for Bedrock At Home New Jersey LLC is 1104525989. The current practice location address for Bedrock At Home New Jersey LLC is 1 Holtec Dr Ste 203, Marlton, NJ 08053-3402 and can be reached out via phone at 856-874-7800 and via fax at 908-955-9419.
Provider Profile Details
- NPI Number
- 1104525989
- Provider Name
- Bedrock At Home New Jersey LLC
- Provider Entity Type
- Organization
- Address
- 1 Holtec Dr Ste 203, Marlton, NJ 08053-3402
- Phone Number
- 856-874-7800
- Fax Number
- 908-955-9419
- Primary Taxonomy
- In Home Supportive Care · 253Z00000X
- Organization Subpart
- No
- Authorized Official
- Nicholas Banar · Director Of Operations · 856-874-7800
- Provider Enumeration Date
- March 1, 2023
- Last Update Date
- February 27, 2024
- Certification Date
- February 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Holtec Dr Ste 203
Marlton, NJ 08053-3402 - City
- Marlton
- State
- New Jersey
- Zip
- 08053-3402
- Phone Number
- 856-874-7800
- Fax Number
- 908-955-9419
Provider Business Mailing Address Details
- Address
- 1 Holtec Dr Ste 203
Marlton, NJ 08053-3402 - City
- Marlton
- State
- NJ
- Zip
- 08053-3402
- Phone Number
- 856-874-7800
- Fax Number
- 908-955-9419
License Information
- Taxonomy (1)
- Registered Nurse · 163W00000X
- Taxonomy (2)
- Home Health Aide · 374U00000X
- Taxonomy (3)
- Homemaker · 376J00000X
- Taxonomy (4)
- Nurse's Aide · 376K00000X
- Taxonomy (5)
- 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 Bedrock At Home New Jersey LLC?
The NPI number of Bedrock At Home New Jersey LLC is 1104525989. It was assigned on March 1, 2023 and is currently active in the NPPES registry.
What is the specialty of Bedrock At Home New Jersey LLC?
Bedrock At Home New Jersey LLC is registered under the primary taxonomy In Home Supportive Care (code 253Z00000X).
Where does Bedrock At Home New Jersey LLC practice?
The practice location is 1 Holtec Dr Ste 203, Marlton, NJ 08053-3402. The office can be reached at 856-874-7800 (phone) or 908-955-9419 (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 1104525989 directly on the NPPES registry website.