Healthcare Provider Details

I. General information

NPI: 1356272314
Provider Name (Legal Business Name): HOMELIFE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3402 TALL PNES
PINE HILL NJ
08021-7616
US

IV. Provider business mailing address

3402 TALL PNES
PINE HILL NJ
08021-7616
US

V. Phone/Fax

Practice location:
  • Phone: 856-631-7116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MOHAMMAD ISLAM
Title or Position: OWNER
Credential:
Phone: 856-631-7116