| Organization Name: | SENIORBRIDGE FAMILY COMPANIES (NJ), INC |
| NPI Number: | 1407137722 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC RACKOW (PRESIDENT AND CEO) |
| Mailing Address: | 209 Cooper Ave Ste 3 Upper Montclair |
| State: | NJ US |
| Postal Code: | 070431883 |
| Phone Number: | 8886782243 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2011 |
| NPI Last Update Date: | 05/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | HP0153900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |