Healthcare Provider Details
I. General information
NPI: 1740155126
Provider Name (Legal Business Name): ALIMATA AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1323 ROUTE 27 SUITE B
FRANKLIN TOWNSHIP NJ
08873
US
IV. Provider business mailing address
1323 ROUTE 27, SUITE B
FRANKLIN TOWNSHIP NJ
08873
US
V. Phone/Fax
- Phone: 732-475-7090
- Fax:
- Phone: 732-470-5709
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIAN
KUYATEH
Title or Position: OWNER
Credential:
Phone: 732-470-5709