Avita Home Care Llc

LBN: Avita Home Care Llc
Avita Home Care Llc is an health care organization with primary practice located at 950 Tilton Rd Ste 101 , Northfield NJ 08225-1235. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is the primary health care specialty. Avita Home Care Llc can be contacted via phone (908) 907-3135, or through Pistorius, Elena via phone (609) 334-4450.

Contact Information

Primary practice address
950 Tilton Rd Ste 101 Northfield NJ 08225-1235
Phone: (908) 907-3135
Fax: (732) 719-3070
Website:
Map and Directions
Authorized official contact:
Name: Pistorius, Elena
Phone: (609) 334-4450

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1053961664
LBN Legal business name Avita Home Care Llc
DBA Doing business as
Authorized official Pistorius, Elena
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2019
Last updated Dec 18th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053961664 NPPES
New Jersey MEDICAID 0721514

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