# CITADEL AT HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205310018
- **Authorized official:** GREGORY THOMAS CRAWFORD (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (973) 965-0366

## Contact information

- **Practice address:** 7 GLENWOOD AVE STE 412, EAST ORANGE, NJ 07017-1041
- **Practice address phone:** (973) 965-0366
- **Practice address fax:** (973) 965-0367
- **Mailing address:** 1000 GATES AVE STE 4, BROOKLYN, NY 11221-6296
- **Mailing address phone:** (917) 805-0702
- **Mailing address fax:** (718) 280-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2018
- **Last updated:** 03/28/2025