Healthcare Provider Details

I. General information

NPI: 1205745213
Provider Name (Legal Business Name): BUESO GRACE & CONCIERGE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 LINCOLN PL APT A
FREEHOLD NJ
07728-2108
US

IV. Provider business mailing address

15 LINCOLN PL APT A
FREEHOLD NJ
07728-2108
US

V. Phone/Fax

Practice location:
  • Phone: 732-642-7795
  • Fax:
Mailing address:
  • Phone: 732-642-7795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LILIAN LIZETH BUESO MONCADA
Title or Position: OWNER
Credential:
Phone: 732-642-7795