Healthcare Provider Details

I. General information

NPI: 1417872029
Provider Name (Legal Business Name): HUGUETTE LUTONDO CAREGIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 GROVE ST FL 1
ELIZABETH NJ
07202-2304
US

IV. Provider business mailing address

27 GROVE ST FL 1
ELIZABETH NJ
07202-2304
US

V. Phone/Fax

Practice location:
  • Phone: 201-310-1851
  • Fax:
Mailing address:
  • Phone: 201-310-1851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number26NH20590500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: