# NJ LIFECARE INNOVATION HOME CARE LLC

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

## Provider details

- **NPI number:** 1558040360
- **Authorized official:** ASMITA MAHATO (AMBR)
- **Authorized official phone:** (201) 790-8245

## Contact information

- **Practice address:** 154 MAIN ST UNIT 8, EAST RUTHERFORD, NJ 07073-1842
- **Practice address phone:** (201) 790-8245
- **Mailing address:** 154 MAIN ST UNIT 8, EAST RUTHERFORD, NJ 07073-1842
- **Mailing address phone:** (201) 790-8245

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2023
- **Last updated:** 07/18/2023