Healthcare Provider Details

I. General information

NPI: 1508483090
Provider Name (Legal Business Name): JIYA HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 S ORANGE AVE STE 105
LIVINGSTON NJ
07039-4916
US

IV. Provider business mailing address

70 S ORANGE AVE STE 105
LIVINGSTON NJ
07039-4916
US

V. Phone/Fax

Practice location:
  • Phone: 973-803-0901
  • Fax:
Mailing address:
  • Phone: 973-803-0901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JILESH CHHEDA
Title or Position: OWNER
Credential:
Phone: 973-803-0901