Healthcare Provider Details

I. General information

NPI: 1699629824
Provider Name (Legal Business Name): STORIS HOME CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HADDONFIELD RD STE 224
CHERRY HILL NJ
08002-1467
US

IV. Provider business mailing address

888 E SANGER ST
PHILADELPHIA PA
19124-1015
US

V. Phone/Fax

Practice location:
  • Phone: 609-968-4222
  • Fax:
Mailing address:
  • Phone: 267-588-0289
  • Fax: 267-588-0289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ZAKKIYYAH G WILLIAMS
Title or Position: OWNER
Credential: WILLIAMS
Phone: 267-588-0289