Healthcare Provider Details

I. General information

NPI: 1659290567
Provider Name (Legal Business Name): HOMESTRIDE MOBILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 UNION ST
JERSEY CITY NJ
07304-1514
US

IV. Provider business mailing address

274 UNION ST
JERSEY CITY NJ
07304-1514
US

V. Phone/Fax

Practice location:
  • Phone: 973-913-5176
  • Fax:
Mailing address:
  • Phone: 973-913-5176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN D WEST JR.
Title or Position: PRESIDENT
Credential:
Phone: 973-913-5176