Active NPIOrganization

Mi Casa Es Su Casa II

Clinic/Center, Adult Day Care in Ridgewood, New Jersey

NPI Number1225228299
Practice location
30 S Maple Ave, Ridgewood, NJ 07450-4508
Fax
201-652-0194
Last updated
July 26, 2007

Mi Casa Es Su Casa II is a healthcare organization based in Ridgewood, NJ. Mi Casa Es Su Casa II practices in Ridgewood, NJ. The NPI Number for Mi Casa Es Su Casa II is 1225228299 and holds a License No. NJ09001 (NJ). The current practice location address for Mi Casa Es Su Casa II is 30 S Maple Ave, Ridgewood, NJ 07450-4508 and can be reached out via phone at 201-652-8434 and via fax at 201-652-0194.

Provider Profile Details

NPI Number
1225228299
Provider Name
Mi Casa Es Su Casa II
Provider Entity Type
Organization
Address
30 S Maple Ave, Ridgewood, NJ 07450-4508
Phone Number
201-652-8434
Fax Number
201-652-0194
Primary Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X
Organization Subpart
No
Authorized Official
Dr. Antonio Gines, MD · Owner/Ceo · 201-652-8434
Provider Enumeration Date
July 26, 2007
Last Update Date
July 26, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 S Maple Ave
Ridgewood, NJ 07450-4508
Zip
07450-4508
Phone Number
201-652-8434
Fax Number
201-652-0194
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
6120 Buchanan Pl
West New York, NJ 07093-2915
City
West New York
State
NJ
Zip
07093-2915
Phone Number
201-652-8434
Fax Number
201-652-0194

License Information

License Number
NJ09001
License State
NJ
Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mi Casa Es Su Casa II?

The NPI number of Mi Casa Es Su Casa II is 1225228299. It was assigned on July 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Mi Casa Es Su Casa II?

Mi Casa Es Su Casa II is registered under the primary taxonomy Clinic/Center, Adult Day Care (code 261QA0600X), licensed in NJ under license number NJ09001.

Where does Mi Casa Es Su Casa II practice?

The practice location is 30 S Maple Ave, Ridgewood, NJ 07450-4508. The office can be reached at 201-652-8434 (phone) or 201-652-0194 (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 1225228299 directly on the NPPES registry website.

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