Healthcare Provider Details

I. General information

NPI: 1386490621
Provider Name (Legal Business Name): ENORMOUS CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 MORRIS AVE STE L-3
UNION NJ
07083-5918
US

IV. Provider business mailing address

2204 MORRIS AVE STE L-3
UNION NJ
07083-5918
US

V. Phone/Fax

Practice location:
  • Phone: 856-210-4317
  • Fax: 888-833-6676
Mailing address:
  • Phone: 856-210-4317
  • Fax: 888-833-6676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. EVENS COSMEUS
Title or Position: PRESIDENT & CEO
Credential:
Phone: 856-210-4317