Healthcare Provider Details

I. General information

NPI: 1275457616
Provider Name (Legal Business Name): AID ANNEX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 W NORTHFIELD RD STE C
LIVINGSTON NJ
07039-9991
US

IV. Provider business mailing address

25 W NORTHFIELD RD STE C PO BOX 532
LIVINGSTON NJ
07039-9991
US

V. Phone/Fax

Practice location:
  • Phone: 732-630-0062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JANEEN DOEMAN
Title or Position: OWNER
Credential:
Phone: 732-630-0062