Khaleidoscope Health Care Inc. in Jersey City - Primary Care

Khaleidoscope Health Care Inc. - NPI 1306969787

Khaleidoscope Health Care Inc. is a Primary Care in Jersey City, New Jersey. Khaleidoscope Health Care Inc. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Khaleidoscope Health Care Inc. is 1306969787. The last update date is 2023-11-27.

Khaleidoscope Health Care Inc.'s current location address is P.o Box 4070 75 Harrison Ave, Jersey City, New Jersey. You can contact this provider via phone number 2014515425 and fax number 2014517499. The mailing address for Khaleidoscope Health Care Inc. is P.o Box 4070 75 Harrison Ave, Jersey City, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Khaleidoscope Health Care Inc.
Address P.o Box 4070 75 Harrison Ave, Jersey City, New Jersey
Phone Number 2014515425
Fax Number 2014517499
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Blake M Larry
Credentials LCSW
Telephone Number 2013869264

NPI Number Detail

NPI Number 1306969787
Provider Enumeration Date 2007-04-09
Last Updated Date 2023-11-27

Provider Mailing Address Detail

Address P.o Box 4070 75 Harrison Ave
City Jersey City
State New Jersey (NJ)
Post Code 73040070
Phone Number 2014515425
Fax Number 2014517499

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 80305
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7864108 NJ --
6103201 NJ --

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FAQs about Khaleidoscope Health Care Inc.

What is the unique identification code assigned to Khaleidoscope Health Care Inc. by the Centers for Medicare & Medicaid Services?

The Khaleidoscope Health Care Inc. has been issued the NPI (National Provider Identifier) 1306969787. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Khaleidoscope Health Care Inc. is geographically located?

The Khaleidoscope Health Care Inc. is physically situated at the following location: P.O Box 4070 75 Harrison Ave, Jersey City, NJ, 73040070.

What is Khaleidoscope Health Care Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Khaleidoscope Health Care Inc. is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.

When did Khaleidoscope Health Care Inc. receive its 1306969787 assignment?

The Khaleidoscope Health Care Inc. was assigned its 1306969787 on 2007-04-09, which is the date when this unique identifier was issued to the organization.

As of what date were the Khaleidoscope Health Care Inc.'s details last updated?

The information pertaining to the Khaleidoscope Health Care Inc., including its address, specialty, and other details, was most recently updated on 2023-11-27.

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