Healthcare Provider Details

I. General information

NPI: 1922821420
Provider Name (Legal Business Name): GROWING HOPE PEDIATRICS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 FIELDCREST AVE STE 312
EDISON NJ
08837-3626
US

IV. Provider business mailing address

110 FIELDCREST AVE STE 312
EDISON NJ
08837-3626
US

V. Phone/Fax

Practice location:
  • Phone: 734-560-4545
  • Fax: 732-379-3167
Mailing address:
  • Phone: 862-866-8773
  • Fax: 732-379-3167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GRISHMA NAGAR
Title or Position: OWNER/CEO
Credential:
Phone: 862-866-8773