Basic Information
| Provider Information | |||||||||
| NPI: | 1487218277 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | PIONEER HOMECARE OF NJ, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14 SOUTH CENTER STREET | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186712100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14 SOUTH CENTER STREET | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186712100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2019 | ||||||||
| LastUpdateDate: | 04/26/2019 | ||||||||
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| AuthorizedOfficialLastName: | EMENIKE | ||||||||
| AuthorizedOfficialFirstName: | PATIENCE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8625204151 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | Y | Agencies | Home Health |
No ID Information.