Healthcare Provider Details

I. General information

NPI: 1700707254
Provider Name (Legal Business Name): HOME CARE OF NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 ROUTE 70 W STE 6
CHERRY HILL NJ
08002-3096
US

IV. Provider business mailing address

35 SUSAN DR
SOMERSET NJ
08873-2839
US

V. Phone/Fax

Practice location:
  • Phone: 201-566-6252
  • Fax:
Mailing address:
  • Phone: 201-566-6252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ALISHER MIRZAEV
Title or Position: OWNER
Credential:
Phone: 201-566-6252