Healthcare Provider Details

I. General information

NPI: 1073379723
Provider Name (Legal Business Name): KOMMUNITY KARES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 06/01/2025
Certification Date: 06/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 N 36TH ST
CAMDEN NJ
08105-2524
US

IV. Provider business mailing address

13 NELSONS WAY
WESTAMPTON NJ
08060-5401
US

V. Phone/Fax

Practice location:
  • Phone: 609-706-5027
  • Fax:
Mailing address:
  • Phone: 856-870-8130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. KARLES JOHNSON
Title or Position: CEO
Credential:
Phone: 856-870-8130