MEDICARE: HOME HEALTH CARE EDITION

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

General Provider Information

NPI Number	:	1922760263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CARE EDITION

Provider Business Mailing Address
First Line	:	155 WILLOWBROOK BLVD STE 425
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-7032
Country	:	US
Telephone Number	:	973-493-7016
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 WILLOWBROOK BLVD STE 425
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-7032
Country	:	US
Telephone Number	:	973-493-7016
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PATIENTS SERVICES
Name	:	MRS. MOYA M NORTEI
Credential	:	RN
Telephone Number	:	973-757-7247

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	10/13/2021

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Directions to “HOME HEALTH CARE EDITION ” Practice Location

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