Healthcare Provider Details

I. General information

NPI: 1326576737
Provider Name (Legal Business Name): E&S HOME CARE SOLUTIONS OF ELIZABETH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2017
Last Update Date: 07/25/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 PARKER RD STE B01
ELIZABETH NJ
07208-2148
US

IV. Provider business mailing address

40 PARKER RD STE B01
ELIZABETH NJ
07208-2148
US

V. Phone/Fax

Practice location:
  • Phone: 973-842-2488
  • Fax: 732-343-6878
Mailing address:
  • Phone: 973-842-2488
  • Fax: 732-343-6878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: SOUHAIB ELKOUN
Title or Position: CEO
Credential:
Phone: 908-866-6662