Tristate Domestic,Llc in East Orange - Home Health
Tristate Domestic,Llc - NPI 1164620803
Tristate Domestic,Llc is a Home Health in East Orange, New Jersey. Tristate Domestic,Llc practices all healthcare services and medical treatments related to Home Health. The NPI Number for Tristate Domestic,Llc is 1164620803. The last update date is 2020-08-22.
Tristate Domestic,Llc's current location address is 12 Everett St, East Orange, New Jersey. You can contact this provider via phone number 9736783030. The mailing address for Tristate Domestic,Llc is 12 Everett St, East Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tristate Domestic,Llc |
|---|---|
| Address | 12 Everett St, East Orange, New Jersey |
| Phone Number | 9736783030 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Iacoviello Dominick |
| Telephone Number | 9736783030 |
NPI Number Detail
| NPI Number | 1164620803 |
|---|---|
| Provider Enumeration Date | 2007-07-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12 Everett St |
|---|---|
| City | East Orange |
| State | New Jersey (NJ) |
| Post Code | 70171740 |
| Phone Number | 9736783030 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
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Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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What is the unique 10-digit identifier code assigned to Tristate Domestic,Llc by the Centers for Medicare & Medicaid Services?
The Tristate Domestic,Llc has been issued the NPI (National Provider Identifier) 1164620803 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tristate Domestic,Llc is located?
The Tristate Domestic,Llc is situated at the following address: 12 Everett St, East Orange, NJ, 70171740.
What is Tristate Domestic,Llc's area of expertise and its corresponding taxonomy classification?
The Tristate Domestic,Llc's field of specialization is Home Health, and it falls under the taxonomy code 251E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Tristate Domestic,Llc receive its 1164620803 assignment from the Centers for Medicare & Medicaid Services?
The Tristate Domestic,Llc was assigned its 1164620803 by the Centers for Medicare & Medicaid Services on 2007-07-04.
As of what date were the details related to Tristate Domestic,Llc most recently updated or revised?
The information pertaining to Tristate Domestic,Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.