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NPI Code Detail

MEDICARE: HOME HEALERS LLC

MEDICARE: HOME HEALERS 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
1251J00000XNursing Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1528821022
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME HEALERS LLC
Provider Business Mailing Address
First Line : 190 CALDWELL AVE
Second Line :
City : PATERSON
State : NJ
Zip : 07501-2514
Country : US
Telephone Number : 862-367-3153
Fax Number :
Provider Business Practice Location Address
First Line : 165 PASSAIC AVE
Second Line :
City : FAIRFIELD
State : NJ
Zip : 07004-3521
Country : US
Telephone Number : 862-367-3153
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR, OWNER
Name : CORAL COLON
Credential : RN
Telephone Number : 862-367-3153
Provider Enumeration Date : 02/06/2024
Last Update Date : 02/06/2024

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Directions to “HOME HEALERS LLC ” Practice Location

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