Healthcare Provider Details

I. General information

NPI: 1639217524
Provider Name (Legal Business Name): JUST HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 EDGEBORO RD
EAST BRUNSWICK NJ
08816-1634
US

IV. Provider business mailing address

7 EDGEBORO RD
EAST BRUNSWICK NJ
08816-1634
US

V. Phone/Fax

Practice location:
  • Phone: 732-432-9990
  • Fax: 732-432-9993
Mailing address:
  • Phone: 732-432-9990
  • Fax: 732-432-9993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number2CPTS8
License Number StateNJ

VIII. Authorized Official

Name: MRS. ILONA BEKKERMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 732-432-9990