Provider Demographics
NPI:1619715315
Name:NJ TLC HOME CARES
Entity type:Organization
Organization Name:NJ TLC HOME CARES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORDONEZ-GARCES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-520-8475
Mailing Address - Street 1:9 HIDDEN GLEN DR
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3843
Mailing Address - Country:US
Mailing Address - Phone:845-520-8475
Mailing Address - Fax:888-527-8498
Practice Address - Street 1:9 HIDDEN GLEN DR
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-3843
Practice Address - Country:US
Practice Address - Phone:845-520-8475
Practice Address - Fax:888-527-8498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty