MI CASA ES SU CASA II NPI 1225228299

NPI Information

NPI: 1225228299
Provider Name: MI CASA ES SU CASA II
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
30 S MAPLE AVE
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 652-8434
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MI CASA ES SU CASA II is an adult day care clinic center in Ridgewood, NJ. MI CASA ES SU CASA II NPI is 1225228299. The provider is registered as an organization entity type.

The provider's business location address is:

30 S MAPLE AVE
RIDGEWOOD, NJ
ZIP 07450-508
Phone: (201) 652-8434
Fax: (201) 652-0194

The provider's authorized official is Antonio Gines .
The authorized official title is Owner/ceo and has the following contact phone number (201) 652-8434.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	NJ09001	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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