=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417891987
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SECURE CARE NETWORK LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2026
-----------------------------------------------------
Last Update Date | 04/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 HORIZON RD APT 1426
-----------------------------------------------------
City | FORT LEE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07024-6510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-826-9178
-----------------------------------------------------
Fax | 866-760-0654
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 HORIZON RD
-----------------------------------------------------
City | FORT LEE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07024-6502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-826-9178
-----------------------------------------------------
Fax | 866-760-0654
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OPERATING OFFICER
-----------------------------------------------------
Name | FATIMA LAZIM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-444-1630
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------