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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

NPI Number 1053961664
LBN Legal business name AVITA HOME CARE LLC
Authorized official ELENA PISTORIUS - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2019
Last updated 06/24/2025 - About 12 months ago
Identifiers
NJ Medicaid 0721514
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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