Active NPIOrganization

Petemommy'S Place LLC

In Home Supportive Care in East Orange, New Jersey

NPI Number1386279180
Practice location
70 Bedford St, East Orange, NJ 07018-1830
Fax
—
Last updated
March 12, 2020

Petemommy'S Place LLC is a healthcare organization based in East Orange, NJ. Petemommy'S Place LLC practices in East Orange, NJ. The NPI Number for Petemommy'S Place LLC is 1386279180. The current practice location address for Petemommy'S Place LLC is 70 Bedford St, East Orange, NJ 07018-1830 and can be reached out via phone at 917-341-3624.

Provider Profile Details

NPI Number
1386279180
Provider Name
Petemommy'S Place LLC
Provider Entity Type
Organization
Address
70 Bedford St, East Orange, NJ 07018-1830
Phone Number
917-341-3624
Primary Taxonomy
In Home Supportive Care · 253Z00000X
Organization Subpart
No
Authorized Official
Jurdia C Garrett-Hill · Owner · 917-341-3624
Provider Enumeration Date
March 12, 2020
Last Update Date
March 12, 2020
Certification Date
March 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Bedford St
East Orange, NJ 07018-1830
Zip
07018-1830
Phone Number
917-341-3624
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
Po Box 2234
East Orange, NJ 07019-2234
City
East Orange
State
NJ
Zip
07019-2234
Phone Number
973-640-3827

License Information

Taxonomy
In Home Supportive Care · 253Z00000X · 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 Petemommy'S Place LLC?

The NPI number of Petemommy'S Place LLC is 1386279180. It was assigned on March 12, 2020 and is currently active in the NPPES registry.

What is the specialty of Petemommy'S Place LLC?

Petemommy'S Place LLC is registered under the primary taxonomy In Home Supportive Care (code 253Z00000X).

Where does Petemommy'S Place LLC practice?

The practice location is 70 Bedford St, East Orange, NJ 07018-1830. The office can be reached at 917-341-3624 (phone).

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 1386279180 directly on the NPPES registry website.

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