Provider Demographics
NPI:1629866314
Name:AUTRIS HEALTHCARE LLC
Entity type:Organization
Organization Name:AUTRIS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PRINCESS
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLERMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-791-9669
Mailing Address - Street 1:55 MADISON AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7397
Mailing Address - Country:US
Mailing Address - Phone:646-791-9669
Mailing Address - Fax:
Practice Address - Street 1:111 QUIMBY STREET, 1ST FLOOR, SUITE 2,
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090
Practice Address - Country:US
Practice Address - Phone:973-736-1115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUTRIS HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health