Provider Demographics
NPI:1922563345
Name:NJ HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:NJ HOME HEALTH CARE LLC
Other - Org Name:NJ HOME HEALTH CARE ACADEMY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-825-8499
Mailing Address - Street 1:225 OCEAN AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-2613
Mailing Address - Country:US
Mailing Address - Phone:718-825-8499
Mailing Address - Fax:
Practice Address - Street 1:225 OCEAN AVE FL 2
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-2613
Practice Address - Country:US
Practice Address - Phone:201-630-6887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health