Healthcare Provider Details

I. General information

NPI: 1679080204
Provider Name (Legal Business Name): NJFIRST HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 BERGENLINE AVE
UNION CITY NJ
07087-4860
US

IV. Provider business mailing address

1 MARINE PLZ STE 306
NORTH BERGEN NJ
07047-6238
US

V. Phone/Fax

Practice location:
  • Phone: 201-992-5000
  • Fax: 201-489-7800
Mailing address:
  • Phone: 201-992-5000
  • Fax: 201-489-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: IDIR SARADOUNI
Title or Position: OWNER
Credential: RN
Phone: 201-582-3000