# AVITA HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Andrea Homecare Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053961664
- **Authorized official:** MS. ELENA PISTORIUS (MEMBER)
- **Authorized official phone:** (609) 334-4450

## Contact information

- **Practice address:** 730 JAMAICA BLVD STE 24, TOMS RIVER, NJ 08757-3758
- **Practice address phone:** (732) 202-6677
- **Practice address fax:** (732) 719-3070
- **Mailing address:** 730 JAMAICA BLVD STE 24, TOMS RIVER, NJ 08757-3758
- **Mailing address phone:** (732) 202-6677
- **Mailing address fax:** (732) 719-3070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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