Provider Demographics
NPI:1538982764
Name:HELENA HOME CARE
Entity type:Organization
Organization Name:HELENA HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:OLUFEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOYEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-462-5071
Mailing Address - Street 1:2 CLERICO LN STE 101
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1620
Mailing Address - Country:US
Mailing Address - Phone:516-462-5071
Mailing Address - Fax:
Practice Address - Street 1:340 S BRANCH RD STE 127
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-3434
Practice Address - Country:US
Practice Address - Phone:516-462-5071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELENA HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-05
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services