Healthcare Provider Details

I. General information

NPI: 1033074208
Provider Name (Legal Business Name): ELDERLY CARE COMPANION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 WALL ST W STE 370
LYNDHURST NJ
07071-3600
US

IV. Provider business mailing address

1050 WALL ST W STE 370
LYNDHURST NJ
07071-3600
US

V. Phone/Fax

Practice location:
  • Phone: 551-316-6060
  • Fax: 973-813-5288
Mailing address:
  • Phone: 551-316-6060
  • Fax: 973-813-5288

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: HAVI NGUYEN
Title or Position: OWNER
Credential:
Phone: 973-381-2426