Charity Mantebea
Individual provider Active NPI Home Health Aide · South River, NJ
NPI 1245807932 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1245807932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- GYD5VA (NJ)
- Practice address
- 47 W Grochowiak St
South River, NJ 08882-1539 - Phone
- (609) 254-7360
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GYD5VA | NJ | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | GYD5VA | NJ | Yes |
Addresses
Primary practice location
47 W Grochowiak St
South River, NJ 08882-1539
Mailing address
47 W Grochowiak St
South River, NJ 08882-1539
Phone (609) 254-7360
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop | Direct |
Other providers in South River, NJ
- Cynthia Kozicki
- Sigmund Lewis Kulessa Jr.
- Jean Claude Laborde
- J. Victoria Laszlo
- Mark Jeffrey Lawson
- Shorok Abdalla Maria
- James Joseph Matera
- Glenda L. Mathew
- Nidhi Mehta
- Gabrielle Menguito
All providers in South River, NJ · Home Health Aide in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.