# SACRED HOME HEALTH CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SACRED HOME HEALTH CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730906884
- **Legal business name:** SACRED HOME HEALTH CARE, LLC
- **Authorized official:** LYSSETE M CANO (DIRECTOR OF NURSING)
- **Authorized official phone:** (973) 337-5676

## Contact information

- **Practice address:** 510 S MAIN ST STE 110, FORKED RIVER, NJ 08731-4831
- **Practice address phone:** (609) 528-9510
- **Mailing address:** 96 MIDLAND AVE, KEARNY, NJ 07032-2717

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2024
- **Last updated:** 09/20/2024