Provider Demographics
NPI:1790337319
Name:HOME 2 CARE SERVICES
Entity Type:Organization
Organization Name:HOME 2 CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABIMBOLA
Authorized Official - Middle Name:GBOLAHAN
Authorized Official - Last Name:ABIODUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-356-9171
Mailing Address - Street 1:PO BOX 28298
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-2484
Mailing Address - Country:US
Mailing Address - Phone:240-360-9252
Mailing Address - Fax:
Practice Address - Street 1:5306 BRISTOL DR
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-2516
Practice Address - Country:US
Practice Address - Phone:973-356-9171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-13
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities