Provider Demographics
NPI:1538942297
Name:ONE PLACE HOME HEALTH LLC
Entity type:Organization
Organization Name:ONE PLACE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUAL
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-499-7065
Mailing Address - Street 1:180 STAR DR
Mailing Address - Street 2:
Mailing Address - City:EASTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-9684
Mailing Address - Country:US
Mailing Address - Phone:267-499-7065
Mailing Address - Fax:
Practice Address - Street 1:180 STAR DR
Practice Address - Street 2:
Practice Address - City:EASTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-9684
Practice Address - Country:US
Practice Address - Phone:267-499-7065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health