Healthcare Provider Details

I. General information

NPI: 1720717846
Provider Name (Legal Business Name): RESILIENT HOMECARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 REEVES AVE STE 10
HAMILTON NJ
08610-3817
US

IV. Provider business mailing address

16 REEVES AVE STE 10
HAMILTON NJ
08610-3817
US

V. Phone/Fax

Practice location:
  • Phone: 609-379-0752
  • Fax: 609-245-8091
Mailing address:
  • Phone: 609-379-0752
  • Fax: 609-245-8091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: CLAUDINE SASHA JEAN LOUIS
Title or Position: PRESIDENT/ADMIN/RN
Credential:
Phone: 609-379-0752