Healthcare Provider Details

I. General information

NPI: 1568257491
Provider Name (Legal Business Name): WELCOME HOME FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MATAWAN RD STE 325
MATAWAN NJ
07747-3590
US

IV. Provider business mailing address

100 MATAWAN RD STE 325
MATAWAN NJ
07747-3590
US

V. Phone/Fax

Practice location:
  • Phone: 866-943-1630
  • Fax: 866-360-8089
Mailing address:
  • Phone: 866-943-1630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. AYANNA ADAMS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 866-943-1630