Basic Information
Provider Information | |||||||||
NPI: | 1780119529 | ||||||||
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: | 2013425127 | ||||||||
Practice Location | |||||||||
Address1: | 1767 MORRIS AVE | ||||||||
Address2: | 3RD FLOOR | ||||||||
City: | UNION | ||||||||
State: | NJ | ||||||||
PostalCode: | 070833532 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9088105370 | ||||||||
FaxNumber: | 9086249952 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/01/2017 | ||||||||
LastUpdateDate: | 05/01/2017 | ||||||||
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 | HP0200001 | NJ | Y |   | Agencies | Home Health |   |
ID Information
ID | Type | State | Issuer | Description | 0469491 | 05 | NJ |   | MEDICAID |