MEDICARE: LUNE HOME CARE 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1518825744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUNE HOME CARE LLC

Provider Business Mailing Address
First Line	:	514 MILLBURN AVE UNIT 1069
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-2508
Country	:	US
Telephone Number	:	917-495-2450
Fax Number	:

Provider Business Practice Location Address
First Line	:	514 MILLBURN AVE UNIT 1069
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-2508
Country	:	US
Telephone Number	:	917-495-2450
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	CANDIDE PETIT PHAR
Credential	:
Telephone Number	:	917-495-2450

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

Similar Medicare Providers

1649134552 — EVERWAI COUNSELING AND WELLNESS
Practice Location Address:

514 MILLBURN AVE UNIT 1097
SHORT HILLS, NJ
07078-2508

Practice Phone: 973-573-4181
Practice Fax:

1851267611 — CANDIDE PETIT PHAR
Practice Location Address:

514 MILLBURN AVE UNIT 1069
SHORT HILLS, NJ
07078-2508

Practice Phone: 917-495-2450
Practice Fax:

1861539256 — BARRY I AUSTER MD PC
Practice Location Address:

31420 NORTHWESTERN HWY , SUITE 150
FARMINGTON HILLS, MI
48334-2508

Practice Phone: 248-538-0109
Practice Fax: 248-538-0675

1093122962 — JAMIE HARREL
Practice Location Address:

116 REBEL DR
PARK HILLS, MO
63601-2508

Practice Phone: 573-431-1211
Practice Fax:

1992291009 — SAMANTHA MAI OTR/L
Practice Location Address:

6917 SEDAN AVE
WEST HILLS, CA
91307-2508

Practice Phone: 818-497-7455
Practice Fax:

1003551797 — GREAT MINES HEALTH CENTER
Practice Location Address:

116 REBEL DR RM 201
PARK HILLS, MO
63601-2508

Practice Phone: 573-431-2616
Practice Fax:

Directions to “LUNE HOME CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.