Healthcare Provider Details

I. General information

NPI: 1497664957
Provider Name (Legal Business Name): HOME OF NAIMA CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 CHESTNUT ST APT 3
NORTH ATTLEBORO MA
02760-6006
US

IV. Provider business mailing address

3021 KINGSLAND AVE
BRONX NY
10469-3276
US

V. Phone/Fax

Practice location:
  • Phone: 347-386-1323
  • Fax:
Mailing address:
  • Phone: 347-386-1323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. FATOU JAITEH
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 347-386-1323