Provider Demographics
NPI:1144668120
Name:ALERT HOME SERVICES CORPORATION
Entity type:Organization
Organization Name:ALERT HOME SERVICES CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:POOJABEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSWAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-743-8181
Mailing Address - Street 1:1 LINCOLN HWY STE 12
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3962
Mailing Address - Country:US
Mailing Address - Phone:732-743-8181
Mailing Address - Fax:732-743-8183
Practice Address - Street 1:1 LINCOLN HWY STE 12
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3962
Practice Address - Country:US
Practice Address - Phone:732-743-8181
Practice Address - Fax:732-743-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0171300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7901402Medicaid
NJ15064OtherHEALTH FIRST
NJ27514OtherAMERIGROUP
NJ22326OtherHORIZON NJ HEALTH