Healthcare Provider Details

I. General information

NPI: 1568940450
Provider Name (Legal Business Name): ALAY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 NEWARK BAY CT
BAYONNE NJ
07002-1904
US

IV. Provider business mailing address

31 NEWARK BAY CT
BAYONNE NJ
07002-1904
US

V. Phone/Fax

Practice location:
  • Phone: 201-899-4990
  • Fax: 201-565-0588
Mailing address:
  • Phone: 201-899-4990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS GONZALES
Title or Position: OWNER
Credential:
Phone: 201-899-4990