Provider Demographics
NPI:1093453888
Name:SOUTH JERSEY HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:SOUTH JERSEY HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SONALI
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-456-2474
Mailing Address - Street 1:414 STOKES RD STE 204
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8400
Mailing Address - Country:US
Mailing Address - Phone:856-724-4143
Mailing Address - Fax:
Practice Address - Street 1:414 STOKES RD STE 204
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8400
Practice Address - Country:US
Practice Address - Phone:856-724-4143
Practice Address - Fax:856-366-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care