Healthcare Provider Details

I. General information

NPI: 1902544869
Provider Name (Legal Business Name): IN HOME CARE AND TRAINING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2022
Last Update Date: 05/21/2022
Certification Date: 05/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 SOUTH AVE APT 323
PLAINFIELD NJ
07062-1981
US

IV. Provider business mailing address

108 WATCHUNG AVE # 300
PLAINFIELD NJ
07060-1251
US

V. Phone/Fax

Practice location:
  • Phone: 833-653-3655
  • Fax:
Mailing address:
  • Phone: 833-653-3655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care 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: MS. NICOLE PITTMAN-KNIGHT
Title or Position: CEO
Credential: RN
Phone: 833-653-3655