Healthcare Provider Details

I. General information

NPI: 1982514022
Provider Name (Legal Business Name): KASEFA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 BURNETT AVE APT 1F
MAPLEWOOD NJ
07040-3159
US

IV. Provider business mailing address

5 FRANKLIN AVE STE G5
BELLEVILLE NJ
07109-3504
US

V. Phone/Fax

Practice location:
  • Phone: 973-417-8742
  • Fax: 973-751-7172
Mailing address:
  • Phone: 973-417-8742
  • Fax: 973-751-7172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: CHENISA SANGARE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 973-417-8742