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Tristate Domestic,llc
Private Vehicle in East Orange, New Jersey
NPI 1164620803

Tristate Domestic,llc is a Private Vehicle based in East Orange, NJ. Tristate Domestic,llc practices in East Orange, NJ. The NPI Number for Tristate Domestic,llc is 1164620803 and holds a License No. (New Jersey).

The current practice location address for Tristate Domestic,llc is 12 Everett St, East Orange, NJ and can be reached out via phone at 973-678-3030.

Location: 12 Everett St, East Orange, NJ, 07017-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164620803
Provider Name
Tristate Domestic,llc
Credential
Provider Entity Type
Organization
Address
12 Everett St, East Orange, NJ, 07017-1740
Phone Number
973-678-3030
Fax Number
Provider Enumeration Date
07/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12 Everett St
City
East Orange
State
New Jersey
Zip
07017-1740
Phone Number
973-678-3030
Fax Number
person
Provider Business Mailing Address Details
Address
12 Everett St
City
East Orange
State
New Jersey
Zip
07017-1740
Phone Number
973-678-3030
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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