# FAMILY REBUILD

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

## Provider details

- **NPI number:** 1639039902
- **Authorized official:** ANANEIKA MIDEA GORDON (FOUNDER)
- **Authorized official phone:** (561) 633-7761

## Contact information

- **Practice address:** 811 MORGAN AVE, PALMYRA, NJ 08065-1933
- **Practice address phone:** (732) 379-1663
- **Mailing address:** 811 MORGAN AVE, PALMYRA, NJ 08065-1933
- **Mailing address phone:** (732) 379-1663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |

## Other

- **Enumeration date:** 11/17/2025
- **Last updated:** 11/17/2025