Healthcare Provider Details

I. General information

NPI: 1962230276
Provider Name (Legal Business Name): CARE ONE STAFF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 MALLORY AVE
JERSEY CITY NJ
07304-1135
US

IV. Provider business mailing address

146 MALLORY AVE
JERSEY CITY NJ
07304-1135
US

V. Phone/Fax

Practice location:
  • Phone: 908-987-8233
  • Fax: 866-828-4561
Mailing address:
  • Phone: 908-987-8233
  • Fax: 866-828-4561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELIZABETH NYAEGA
Title or Position: CEO
Credential: RN
Phone: 908-987-8233