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BEDROCK AT HOME NEW JERSEY LLC
NPI 1104525989
In Home Supportive Care in Marlton, NJ

Active since March 01, 2023
1 HOLTEC DR STE 203, MARLTON, NJ 08053(856) 874-7800(908) 955-9419 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2023, Mar 1, 2023 (2 updates tracked since 2023).

About Bedrock At Home New Jersey Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEDROCK AT HOME NEW JERSEY LLC (NPI 1104525989) is a healthcare organization registered as an in home supportive care in Marlton, New Jersey and active in the NPI registry since March 2023. The organization lists Nicholas Banar, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1104525989
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameBEDROCK AT HOME NEW JERSEY LLC
Location Address1 HOLTEC DR STE 203Marlton, NJ 08053-3402
Mailing Address1 Holtec Dr Ste 203Marlton, NJ 08053-3402 · (856) 874-7800 · Fax (908) 955-9419
Phone(856) 874-7800
Fax(908) 955-9419
Organization SubpartNo
Authorized OfficialNicholas BanarDirector Of Operations · (856) 874-7800
Enumeration DateMarch 1, 2023
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1104525989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedHomemakerTaxonomy 376J00000X
Also ListedNurse's AideTaxonomy 376K00000X
1 HOLTEC DR STE 203, Marlton, NJ 08053
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE HERTHA HARASINK OTR/L
Occupational Therapist
1 HOLTEC DR STE 203
MARLTON, NJ 08053
Burlington County (856) 874-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bedrock At Home New Jersey LLC's NPI number?

The NPI number for Bedrock At Home New Jersey LLC is 1104525989. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Bedrock At Home New Jersey LLC located?

Bedrock At Home New Jersey LLC is located at 1 Holtec Dr Ste 203, Marlton, NJ 08053. The listed phone number is (856) 874-7800.

What is Bedrock At Home New Jersey LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Bedrock At Home New Jersey LLC was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.