Healthcare Provider Details

I. General information

NPI: 1871391193
Provider Name (Legal Business Name): EMEREST CERTIFIED HOME HEALTH CARE OF SOUTH JERSEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HARPER DR
MOORESTOWN NJ
08057-3208
US

IV. Provider business mailing address

300 HARPER DR
MOORESTOWN NJ
08057-3208
US

V. Phone/Fax

Practice location:
  • Phone: 856-552-1300
  • Fax: 856-552-1307
Mailing address:
  • Phone: 856-552-1300
  • Fax: 856-552-1307

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: MR. JOSEPH KATZ
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 718-475-1000