Provider Demographics
NPI:1053437434
Name:HEALTH GUARD ADHC
Entity type:Organization
Organization Name:HEALTH GUARD ADHC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FRIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAYSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-298-8588
Mailing Address - Street 1:545 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203-1571
Mailing Address - Country:US
Mailing Address - Phone:908-298-8588
Mailing Address - Fax:908-298-8511
Practice Address - Street 1:545 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-1571
Practice Address - Country:US
Practice Address - Phone:908-298-8588
Practice Address - Fax:908-298-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ908115311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home