Healthcare Provider Details

I. General information

NPI: 1083404719
Provider Name (Legal Business Name): PERFECT CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 ALLEN ST
IRVINGTON NJ
07111-4842
US

IV. Provider business mailing address

66 ALLEN ST APT 1
IRVINGTON NJ
07111-4843
US

V. Phone/Fax

Practice location:
  • Phone: 347-863-5633
  • Fax:
Mailing address:
  • Phone: 347-863-5633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OLATOUN SOBOWALE
Title or Position: ADMINISTRATOR
Credential: DO
Phone: 347-863-5633