# SIVAM HEALTHCARE TRAINING INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sivam Home Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679303069
- **Authorized official:** DR. MAVIS ERMAKOV DNP, APN, FNP-C, RD, (ADMINISTRATOR)
- **Authorized official phone:** (973) 373-9080

## Contact information

- **Practice address:** 1120 S ORANGE AVE, NEWARK, NJ 07106-1513
- **Practice address phone:** (973) 373-9080
- **Practice address fax:** (973) 373-9081
- **Mailing address:** 1120 S ORANGE AVE, NEWARK, NJ 07106-1513
- **Mailing address phone:** (973) 373-9080
- **Mailing address fax:** (973) 373-9081

## Taxonomy

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

## Other

- **Enumeration date:** 08/01/2024
- **Last updated:** 08/01/2024