Healthcare Provider Details

I. General information

NPI: 1346822541
Provider Name (Legal Business Name): LOVING ANGELS HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 04/27/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 EDWARD AVE
HAMILTON NJ
08610-3904
US

IV. Provider business mailing address

253 EDWARD AVE
HAMILTON NJ
08610-3904
US

V. Phone/Fax

Practice location:
  • Phone: 732-966-1449
  • Fax:
Mailing address:
  • Phone: 732-966-1449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JESSENIA MARSH
Title or Position: CEO / RN/ OWNER
Credential: RN
Phone: 732-966-1449