Healthcare Provider Details

I. General information

NPI: 1902736556
Provider Name (Legal Business Name): AI HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 BERGEN AVE STE 209
JERSEY CITY NJ
07306-4311
US

IV. Provider business mailing address

910 BERGEN AVE STE 209
JERSEY CITY NJ
07306-4311
US

V. Phone/Fax

Practice location:
  • Phone: 917-885-0704
  • Fax:
Mailing address:
  • Phone: 917-885-0704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: UNKNOWN SANIYA SADAF
Title or Position: DIRECTOR
Credential:
Phone: 917-885-0704