HOLY NAME MEDICAL CENTER INC.
Adult Care Home
Teaneck, New Jersey
Provider NPI: 1629284302
Organization Information:Organization Name: HOLY NAME MEDICAL CENTER INC.
Practice Location:
718 TEANECK RD TEANECK, NJ 07666 US
Tel: 201-833-3000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
718 TEANECK RD TEANECK, NJ 07666 US
Tel: 201-833-3000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NJ | 10205 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4135407 | NJ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin