Healthcare Provider Details

I. General information

NPI: 1528821022
Provider Name (Legal Business Name): HOME HEALERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 PASSAIC AVE
FAIRFIELD NJ
07004-3521
US

IV. Provider business mailing address

190 CALDWELL AVE
PATERSON NJ
07501-2514
US

V. Phone/Fax

Practice location:
  • Phone: 862-367-3153
  • Fax:
Mailing address:
  • Phone: 862-367-3153
  • Fax:

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CORAL COLON
Title or Position: EXECUTIVE DIRECTOR, OWNER
Credential: RN
Phone: 862-367-3153