Basic Information
| Provider Information | |||||||||
| NPI: | 1992230668 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CARE FINDERS TOTAL CARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 611 ROUTE 46 WEST | ||||||||
| Address2: | STE 200 | ||||||||
| City: | HASBROUCK HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014039300 | ||||||||
| FaxNumber: | 2013425122 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 N BLACK HORSE PIKE | ||||||||
| Address2: | STE 307 | ||||||||
| City: | WILLIAMSTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080941483 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565136177 | ||||||||
| FaxNumber: | 8565136588 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2017 | ||||||||
| LastUpdateDate: | 05/01/2017 | ||||||||
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| AuthorizedOfficialLastName: | ROGERS | ||||||||
| AuthorizedOfficialFirstName: | KEVIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF OPERATING OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 2014039300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | CPA,CGMA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | HP0181809 | NJ | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 0475874 | 05 | NJ | MEDICAID |