Healthcare Provider Details

I. General information

NPI: 1417891987
Provider Name (Legal Business Name): SECURE CARE NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HORIZON RD APT 1426
FORT LEE NJ
07024-6510
US

IV. Provider business mailing address

1 HORIZON RD
FORT LEE NJ
07024-6502
US

V. Phone/Fax

Practice location:
  • Phone: 917-826-9178
  • Fax: 866-760-0654
Mailing address:
  • Phone: 917-826-9178
  • Fax: 866-760-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FATIMA LAZIM
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 347-444-1630