Provider Demographics
NPI:1760297246
Name:COTTAGE HOMECARE SERVICES NJ, LLC
Entity type:Organization
Organization Name:COTTAGE HOMECARE SERVICES NJ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIVPAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-367-2266
Mailing Address - Street 1:97 NEWKIRK ST APT 337
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3035
Mailing Address - Country:US
Mailing Address - Phone:201-633-8481
Mailing Address - Fax:201-633-8481
Practice Address - Street 1:97 NEWKIRK ST APT 337
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3035
Practice Address - Country:US
Practice Address - Phone:201-633-8481
Practice Address - Fax:201-633-8481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health