Healthcare Provider Details
I. General information
NPI: 1750200440
Provider Name (Legal Business Name): GENEVAS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 VILLANOVA CT
SICKLERVILLE NJ
08081-1909
US
IV. Provider business mailing address
7 VILLANOVA CT
SICKLERVILLE NJ
08081-1909
US
V. Phone/Fax
- Phone: 856-606-6836
- Fax:
- Phone:
- 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:
NAZEERA
HARPER
Title or Position: OWNER
Credential:
Phone: 856-606-6836