Healthcare Provider Details

I. General information

NPI: 1518751866
Provider Name (Legal Business Name): ELDER CARE HOMECARE NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 ROUTE 38 STE 140
CHERRY HILL NJ
08002-2971
US

IV. Provider business mailing address

389 5TH AVE RM 500
NEW YORK NY
10016-3356
US

V. Phone/Fax

Practice location:
  • Phone: 856-321-1500
  • Fax:
Mailing address:
  • Phone: 201-670-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. IAN DORFMAN
Title or Position: SENIOR DIRECTOR, STRATEGY AND PARTN
Credential:
Phone: 201-670-7100