# INDEPENDENCE HOME CARE ENTERPRISES LLC

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

## Provider details

- **NPI number:** 1285742254
- **Authorized official:** MR. MARAT GRABOV (CEO)
- **Authorized official phone:** (917) 721-7747

## Contact information

- **Practice address:** 86 BLOOMFIELD AVE, NEWARK, NJ 07104-1905
- **Practice address phone:** (917) 721-7747
- **Mailing address:** 86 BLOOMFIELD AVE, NEWARK, NJ 07104-1905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NJ | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 07/21/2022