Healthcare Provider Details

I. General information

NPI: 1710864863
Provider Name (Legal Business Name): AT HOME ANGELS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 ROUTE 9 N STE 202
OLD BRIDGE NJ
08857-3518
US

IV. Provider business mailing address

3663 ROUTE 9 N STE 202
OLD BRIDGE NJ
08857-3518
US

V. Phone/Fax

Practice location:
  • Phone: 908-670-8800
  • Fax:
Mailing address:
  • Phone: 908-670-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CARINA BALONES
Title or Position: OWNER/COO
Credential: RN
Phone: 908-670-8800