Healthcare Provider Details

I. General information

NPI: 1750693677
Provider Name (Legal Business Name): GOHEWEC HEALTHCARE PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 ROSELAND AVE
CALDWELL NJ
07006-5904
US

IV. Provider business mailing address

8 ROSEMONT LN
WEST ORANGE NJ
07052-2215
US

V. Phone/Fax

Practice location:
  • Phone: 973-736-8990
  • Fax: 973-736-8902
Mailing address:
  • Phone: 973-736-8990
  • Fax: 973-736-8902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0142300
License Number StateNJ

VIII. Authorized Official

Name: MR. OLUFEMI AKANBI
Title or Position: CEO
Credential:
Phone: 973-687-6026