Provider Demographics
NPI:1629542253
Name:MAT/CH CARE SERVICE INC.
Entity type:Organization
Organization Name:MAT/CH CARE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENEA
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:848-469-9201
Mailing Address - Street 1:12 TIFFANY PL
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-1911
Mailing Address - Country:US
Mailing Address - Phone:848-469-9201
Mailing Address - Fax:
Practice Address - Street 1:12 TIFFANY PL
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1911
Practice Address - Country:US
Practice Address - Phone:848-469-9201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care