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Organization
AVITA HOME CARE LLC
Active
Organization
AVITA HOME CARE LLC
Active
Other names
Andrea Homecare Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELENA PISTORIUS (MEMBER)
(609) 334-4450
Entity
Organization
Contact information
Practice address
730 JAMAICA BLVD STE 24, TOMS RIVER, NJ 08757-3758
(732) 202-6677
(732) 719-3070
Mailing address
730 JAMAICA BLVD STE 24, TOMS RIVER, NJ 08757-3758
(732) 202-6677
(732) 719-3070
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
Other
Enumeration date
09/16/2019
Last updated
06/24/2025
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