Provider Demographics
NPI:1144059247
Name:NBC HOME CARE AGENCY
Entity type:Organization
Organization Name:NBC HOME CARE AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKELEY-CHARLOTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-341-3207
Mailing Address - Street 1:225 DEMOTT LN STE 206
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4875
Mailing Address - Country:US
Mailing Address - Phone:908-341-3207
Mailing Address - Fax:
Practice Address - Street 1:225 DEMOTT LN STE 206
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4875
Practice Address - Country:US
Practice Address - Phone:908-341-3207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NBC HOMECARE AGENCY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-29
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty