Healthcare Provider Details

I. General information

NPI: 1619851110
Provider Name (Legal Business Name): CARE FLEET SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 SUNSET AVE
OLD BRIDGE NJ
08857-1357
US

IV. Provider business mailing address

323 SUNSET AVE
OLD BRIDGE NJ
08857-1357
US

V. Phone/Fax

Practice location:
  • Phone: 908-267-4690
  • Fax:
Mailing address:
  • Phone: 786-512-8256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHNSON O UWAGBOE
Title or Position: DIRECTOR
Credential:
Phone: 786-512-8256