- Enrollment id
- O20151228001999
- Enrollment state
- NJ
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1912964818
- Multiple npi flag
- N
- Ccn
- 317067
- Associate id
- 6901115021
- Organization name
- VNA HEALTH GROUP OF NEW JERSEY LLC
- Doing business as name
- VISITING NURSE ASSOCIATION OF CENTRAL JERSEY HOME CARE AND HOSPICE
- Incorporation date
- 2015-02-23
- Incorporation state
- NJ
- Organization type structure
- LLC
- Proprietary nonprofit
- N
- Address line 1
- 1433 HOOPER AVE 230
- City
- TOMS RIVER
- State
- NJ
- Zip code
- 087532200
- Practice location type
- HHA BRANCH