Provider Demographics
NPI:1659083350
Name:MOMANA HOMECARE, LLC
Entity Type:Organization
Organization Name:MOMANA HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NASHED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-963-4499
Mailing Address - Street 1:3000 JOHN F KENNEDY BLVD STE 310O
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3817
Mailing Address - Country:US
Mailing Address - Phone:201-963-4499
Mailing Address - Fax:
Practice Address - Street 1:3000 JOHN F KENNEDY BLVD STE 310O
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3817
Practice Address - Country:US
Practice Address - Phone:201-963-4499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care