Provider Demographics
NPI:1174563993
Name:UNDERWOOD-MEMORIAL HOSPITAL HOME CARE SERVICES, INC
Entity type:Organization
Organization Name:UNDERWOOD-MEMORIAL HOSPITAL HOME CARE SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACTING CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-853-2111
Mailing Address - Street 1:132 W RED BANK AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-3407
Mailing Address - Country:US
Mailing Address - Phone:856-845-7251
Mailing Address - Fax:856-845-7351
Practice Address - Street 1:132 W RED BANK AVE
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-3407
Practice Address - Country:US
Practice Address - Phone:856-845-7251
Practice Address - Fax:856-845-7351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0226100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health