Provider Demographics
NPI:1205256195
Name:SISTERS QUALITY HOMECARE
Entity type:Organization
Organization Name:SISTERS QUALITY HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:856-725-8108
Mailing Address - Street 1:536 ELM STREET
Mailing Address - Street 2:
Mailing Address - City:ROSENHAYN
Mailing Address - State:NJ
Mailing Address - Zip Code:08352
Mailing Address - Country:US
Mailing Address - Phone:856-451-3410
Mailing Address - Fax:856-451-5053
Practice Address - Street 1:536 ELM ST
Practice Address - Street 2:
Practice Address - City:ROSENHAYN
Practice Address - State:NJ
Practice Address - Zip Code:08352
Practice Address - Country:US
Practice Address - Phone:856-451-3410
Practice Address - Fax:856-451-5053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26N905264400251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health