Healthcare Provider Details
I. General information
NPI: 1124835921
Provider Name (Legal Business Name): GOOD DEEDS GLOBAL HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2024
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
439 MAIN ST STE 204
ORANGE NJ
07050-1523
US
IV. Provider business mailing address
439 MAIN ST STE 204
ORANGE NJ
07050-1523
US
V. Phone/Fax
- Phone: 201-633-8485
- Fax:
- Phone: 201-633-8485
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHANNA
MASON
Title or Position: MANAGER
Credential:
Phone: 201-633-8485