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NPI Code Detail

MEDICARE: GOODMOTHER CARE SERVICES LLC

MEDICARE: GOODMOTHER 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1528915493
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOODMOTHER CARE SERVICES LLC
Provider Business Mailing Address
First Line : 642 FLORENCE TER
Second Line :
City : UNION
State : NJ
Zip : 07083-8809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 642 FLORENCE TER
Second Line :
City : UNION
State : NJ
Zip : 07083-8809
Country : US
Telephone Number : 201-667-0503
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : JUDITH IBEWUIKE
Credential :
Telephone Number : 201-667-0503
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/15/2026

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Directions to “GOODMOTHER CARE SERVICES LLC ” Practice Location

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