# HENLUCY HEALTH SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henlucy Health System LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568818656
- **Authorized official:** OLAPEMI OBOLANLE (PRESIDENT)
- **Authorized official phone:** (862) 930-6688

## Contact information

- **Practice address:** 68 GARSIDE ST, NEWARK, NJ 07104-1006
- **Practice address phone:** (862) 930-6688
- **Practice address fax:** (862) 930-6689
- **Mailing address:** 68 GARSIDE ST, NEWARK, NJ 07104-1006
- **Mailing address phone:** (862) 930-6688
- **Mailing address fax:** (862) 930-6689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 331L00000X | Blood Bank | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2050X | Respite Care Camp | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/09/2016
- **Last updated:** 07/12/2023