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Contact Information

AVITA HOME CARE LLC
730 JAMAICA BLVD STE 24
TOMS RIVER, NJ08757-3758
 Phone: 732-202-6677
 Fax: 732-719-3070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Adult Companion

372600000X
 

Chore Provider

372500000X
 

Home Health

163WH0200X
 

Home Health Aide

374U00000X
 

Homemaker

376J00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for AVITA HOME CARE LLC · (Female)

NPI Number 1053961664
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2019
Last updated 06/24/2025 - About 12 months ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 0721514
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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