Basic Information
| Provider Information | |||||||||
| NPI: | 1104351048 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CARE FINDERS TOTAL CARE LLC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | |||||||||
| OtherFirstName: | |||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 611 ROUTE 46 WEST | ||||||||
| Address2: | STE 200 | ||||||||
| City: | HASBROUCK HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014039300 | ||||||||
| FaxNumber: | 2013426122 | ||||||||
| Practice Location | |||||||||
| Address1: | 1314 ROUTE 9 | ||||||||
| Address2: | PLEASANT PLAZA, UNIT 8 | ||||||||
| City: | TOMS RIVER | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322705788 | ||||||||
| FaxNumber: | 7322702696 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2017 | ||||||||
| LastUpdateDate: | 04/28/2017 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | ROGERS | ||||||||
| AuthorizedOfficialFirstName: | KEVIN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF OPERATING OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 2014039300 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | CPA,CGMA | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | HP0200010 | NJ | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 0499340 | 05 | NJ | MEDICAID |