Provider Demographics
NPI:1730366592
Name:BERGEN CARE PERSONAL TOUCH, LLC
Entity type:Organization
Organization Name:BERGEN CARE PERSONAL TOUCH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:YEWANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:EFODILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-931-9068
Mailing Address - Street 1:65 JACKSON DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3516
Mailing Address - Country:US
Mailing Address - Phone:908-931-9068
Mailing Address - Fax:201-664-1921
Practice Address - Street 1:100 W RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-666-9000
Practice Address - Fax:201-664-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty