Healthcare Provider Details

I. General information

NPI: 1376453803
Provider Name (Legal Business Name): NEW JERSEY HOME CARE SOCIETY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 BROAD ST STE 240
NEWARK NJ
07102-4417
US

IV. Provider business mailing address

8 LOMBARDY ST UNIT 264
NEWARK NJ
07102-3210
US

V. Phone/Fax

Practice location:
  • Phone: 855-652-2731
  • Fax:
Mailing address:
  • Phone: 201-774-6236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMINA BREEDEN
Title or Position: OWNER
Credential:
Phone: 201-774-6236