Healthcare Provider Details

I. General information

NPI: 1891387635
Provider Name (Legal Business Name): YOUR CHOICE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 PASSAIC AVE STE 415
FAIRFIELD NJ
07004-3527
US

IV. Provider business mailing address

155 PASSAIC AVE STE 415
FAIRFIELD NJ
07004-3527
US

V. Phone/Fax

Practice location:
  • Phone: 908-444-9080
  • Fax: 908-301-6521
Mailing address:
  • Phone: 908-444-9080
  • Fax: 908-301-6521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health 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: MR. ROBERT J PRICE
Title or Position: CEO
Credential: MBA
Phone: 908-444-9080