Provider Demographics
NPI:1750693677
Name:GOHEWEC HEALTHCARE PROVIDERS
Entity type:Organization
Organization Name:GOHEWEC HEALTHCARE PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUFEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:AKANBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-687-6026
Mailing Address - Street 1:8 ROSEMONT LN
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2215
Mailing Address - Country:US
Mailing Address - Phone:973-736-8990
Mailing Address - Fax:973-736-8902
Practice Address - Street 1:640 EAGLE ROCK AVE STE 5&6
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2931
Practice Address - Country:US
Practice Address - Phone:973-736-8990
Practice Address - Fax:973-736-8902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0142300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health