Organization
AVITA HOME CARE LLC
Active
Other names
Andrea Homecare Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELENA PISTORIUS (MEMBER)
(609) 334-4450
Entity
Organization
Contact information
Practice address
730 JAMAICA BLVD STE 24, TOMS RIVER, NJ 08757-3758
(732) 202-6677
(732) 719-3070
Mailing address
730 JAMAICA BLVD STE 24, TOMS RIVER, NJ 08757-3758
(732) 202-6677
(732) 719-3070
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721514
—
NJ
Enumeration date
09/16/2019
Last updated
06/24/2025
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