Healthcare Provider Details

I. General information

NPI: 1154900397
Provider Name (Legal Business Name): EVERYDAY SERVICES AND TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 04/05/2021
Certification Date: 04/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 1/2 S 11TH ST
NEWARK NJ
07103-1956
US

IV. Provider business mailing address

326 1/2 S 11TH ST
NEWARK NJ
07103-1956
US

V. Phone/Fax

Practice location:
  • Phone: 862-256-9129
  • Fax:
Mailing address:
  • Phone: 862-256-9129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. DOMINIC HAMAZH CRAWFORD
Title or Position: DIRECTOR
Credential:
Phone: 862-256-9129