Healthcare Provider Details

I. General information

NPI: 1831059450
Provider Name (Legal Business Name): LJ SENIOR CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2025
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PEARTREE LN
WILLINGBORO NJ
08046-2710
US

IV. Provider business mailing address

8 PEARTREE LN
WILLINGBORO NJ
08046-2710
US

V. Phone/Fax

Practice location:
  • Phone: 609-321-0811
  • Fax: 609-321-0811
Mailing address:
  • Phone: 609-321-0811
  • Fax: 609-321-0811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA JACKSON
Title or Position: CEO
Credential:
Phone: 609-321-0811