Healthcare Provider Details

I. General information

NPI: 1871227231
Provider Name (Legal Business Name): LAXMI NARAYAN HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 DURHAM AVE
SOUTH PLAINFIELD NJ
07080-2546
US

IV. Provider business mailing address

285 DURHAM AVE
SOUTH PLAINFIELD NJ
07080-2546
US

V. Phone/Fax

Practice location:
  • Phone: 732-512-8279
  • Fax: 888-850-1896
Mailing address:
  • Phone: 732-512-8279
  • Fax: 888-850-1896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JESAL AMIN
Title or Position: OWNER
Credential:
Phone: 732-512-8279