OrganizationTotal Healthcare Of Hawthorne LlcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address219 Lafayette Ave, Hawthorne, NJ 07506-1904(201) 543-9992PECOS EnrollmentBased on the most recent information from CMS, provider Total Healthcare Of Hawthorne Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1982967758Provider TypeOrganizationFull NameTotal Healthcare Of Hawthorne LlcSubpartNoEnumeration Date6/18/2012Last Updated9/27/2013Contact InformationPractice LocationPractice Address219 Lafayette Ave, Hawthorne, NJ 07506-1904Phone(201) 543-9992FaxUnlisted FaxMailing LocationMailing AddressPO Box 4157, River Edge, NJ 07661-4157Phone(201) 543-9992FaxUnlisted FaxAuthorized OfficialNameLuna, Luis Fredy (Physician)Phone(201) 543-9992Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense25MA07806100New JerseyCode207RC0000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207RG0100XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode213E00000XDescriptionPodiatristPodiatric Medicine & Surgery Service ProvidersLicenseUnlisted Issuer