MEDICARE: HOME HAVEN CARE 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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1104621028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HAVEN CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	3605 EQUESTRIAN WAY
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3605 EQUESTRIAN WAY
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1914
Country	:	US
Telephone Number	:	862-215-0842
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PRESIDENT
Name	:	TIMOTHY OKE
Credential	:
Telephone Number	:	862-215-0842

Provider Enumeration Date	:	02/14/2025
Last Update Date	:	02/14/2025

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Directions to “HOME HAVEN CARE SERVICES LLC ” Practice Location

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