Provider Demographics
NPI:1265710354
Name:FOREVER HEALING HOME HEALTH SERVICES
Entity type:Organization
Organization Name:FOREVER HEALING HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:973-384-5318
Mailing Address - Street 1:175 MARKET ST STE 304
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07505-1719
Mailing Address - Country:US
Mailing Address - Phone:973-384-5318
Mailing Address - Fax:973-790-1814
Practice Address - Street 1:175 MARKET ST STE 304
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07505-1719
Practice Address - Country:US
Practice Address - Phone:973-384-5318
Practice Address - Fax:973-790-1814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-24
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
NJ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health