Provider Demographics
NPI:1689499584
Name:JERSEY CARE MANAGEMENT LLC
Entity type:Organization
Organization Name:JERSEY CARE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:MANELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:339-526-2273
Mailing Address - Street 1:111 TOWN SQUARE PL
Mailing Address - Street 2:STE 1238 PMB 582961
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310
Mailing Address - Country:US
Mailing Address - Phone:339-526-2273
Mailing Address - Fax:
Practice Address - Street 1:111 TOWN SQUARE PL
Practice Address - Street 2:STE 1238 PMB 582961
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310
Practice Address - Country:US
Practice Address - Phone:339-526-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management