Healthcare Provider Details

I. General information

NPI: 1508733510
Provider Name (Legal Business Name): POWER OF ONE CHRISTIAN COACHING AND OUTREACH MINISTRIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 MAHAR AVE FL 1
CLIFTON NJ
07011-1308
US

IV. Provider business mailing address

59 MAHAR AVE FL 1
CLIFTON NJ
07011-1308
US

V. Phone/Fax

Practice location:
  • Phone: 201-328-2326
  • Fax:
Mailing address:
  • Phone: 201-328-2326
  • 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 Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ANN CASTELLANO
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 201-328-2326