MEDICARE: ELDERLY CARE COMPANION SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033074208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERLY CARE COMPANION SERVICES LLC

Provider Business Mailing Address
First Line	:	1050 WALL ST W STE 370
Second Line	:
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-3600
Country	:	US
Telephone Number	:	551-316-6060
Fax Number	:	973-813-5288

Provider Business Practice Location Address
First Line	:	1050 WALL ST W STE 370
Second Line	:
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-3600
Country	:	US
Telephone Number	:	551-316-6060
Fax Number	:	973-813-5288

Authorized Official
Title or Position	:	OWNER
Name	:	HAVI NGUYEN
Credential	:
Telephone Number	:	973-381-2426

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	06/12/2026

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