Provider Demographics
NPI:1548944929
Name:SINAM CARE AT SICKLERVILLE LLC
Entity type:Organization
Organization Name:SINAM CARE AT SICKLERVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAFFOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-936-0170
Mailing Address - Street 1:150 BRECKENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-3235
Mailing Address - Country:US
Mailing Address - Phone:201-936-0170
Mailing Address - Fax:908-248-8644
Practice Address - Street 1:150 BRECKENRIDGE DR
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-3235
Practice Address - Country:US
Practice Address - Phone:201-936-0170
Practice Address - Fax:908-248-8644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care