| Organization Name: | PATIENT CARE NEW JERSEY, INC. |
| NPI Number: | 1144280017 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY PEDIGO (VP REIMBURSEMENT) |
| Mailing Address: | 9 Quincy St Passaic |
| State: | NJ US |
| Postal Code: | 070556608 |
| Phone Number: | 9733655200 |
| Fax Number: | 9733650729 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 10/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 22592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |