Provider Demographics
NPI:1174160808
Name:NORA HOME CARE LLC
Entity type:Organization
Organization Name:NORA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HATEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELAZIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-390-8768
Mailing Address - Street 1:910 BERGEN AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4311
Mailing Address - Country:US
Mailing Address - Phone:201-918-2191
Mailing Address - Fax:201-918-2162
Practice Address - Street 1:910 BERGEN AVE STE 209
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4311
Practice Address - Country:US
Practice Address - Phone:201-918-2191
Practice Address - Fax:201-918-2162
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORA HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-02
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0915904Medicaid