Organization
GENTAL CARE HOME AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TADIA ROSELLA GODDARD (CEO)
(908) 693-2521
Entity
Organization
Contact information
Practice address
576 CENTRAL AVE FL 3, EAST ORANGE, NJ 07018-1951
(908) 693-2521
Mailing address
266 WATCHUNG AVE APT 2, ORANGE, NJ 07050-1746
(908) 693-2521
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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