Provider Demographics
NPI:1215718812
Name:HOM STAFFING AND HOME CARE LLC
Entity type:Organization
Organization Name:HOM STAFFING AND HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIAMA
Authorized Official - Middle Name:DALANDA
Authorized Official - Last Name:BAH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:609-724-5703
Mailing Address - Street 1:2 CYPRESS POINT RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-4742
Mailing Address - Country:US
Mailing Address - Phone:609-724-5703
Mailing Address - Fax:
Practice Address - Street 1:2 CYPRESS POINT RD
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-4742
Practice Address - Country:US
Practice Address - Phone:609-724-5703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health