Healthcare Provider Details

I. General information

NPI: 1457223232
Provider Name (Legal Business Name): LOVING JOURNEY HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 STERLING AVE # A
JERSEY CITY NJ
07305-1466
US

IV. Provider business mailing address

115 WILLOWBRROK BLVD STE110
WAYNE NJ
07305-1495
US

V. Phone/Fax

Practice location:
  • Phone: 201-884-3023
  • Fax:
Mailing address:
  • Phone: 201-884-3023
  • Fax: 201-309-0436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: PRINCESS THOMAS
Title or Position: MEDIAL ASSIST
Credential: NCMA,PCT
Phone: 201-283-6465