Beaver Dam Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BEAVER DAM HEALTHCARE LLC

Doing business as

Interim HealthCare of Northern Ocean County

Practice address

2401 Bridge Ave
Suite C2
Point Pleasant Boro, NJ 08742-4321

Phone

(732) 451-3431

Fax

(732) 451-3515

NPI assigned

Sep 24, 2013

Last updated

Sep 24, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara Lobravico

Title

Owner

Phone

(732) 451-3431

Specialties & licenses 1

Addresses

Other names 1

• Interim HealthCare of Northern Ocean County Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1730515669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BRIDGE AVE",
            "address_2": "SUITE C2",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424321",
            "telephone_number": "732-451-3431",
            "fax_number": "732-451-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRIDGE AVE",
            "address_2": "SUITE C2",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424321",
            "telephone_number": "732-451-3431",
            "fax_number": "732-451-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER DAM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "LOBRAVICO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-451-3431"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Northern Ocean County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Attainable Health Chiropractic, LLC
• Lisa Marie Azzolina, MS CCC-SLP
• Terry Lewis Bain
• Erica Barrett, RN
• Bay Bridge Counseling, LLC
• Amy Bergquist
• Danielle Bersch, PHARM.D
• Emily A Bessemer, PT, DPT
• Jay Robert Bloom, DDS
• Laurie Boenning, PT, MA

• Home Health Agency in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.