HOLY MOBA LLC (NPI# 1194345025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194345025 |
| Entity Type | Organization |
| Organization Name | HOLY MOBA LLC |
| Practice Address |
136 W 3rd Ave Apt 13 Roselle NJ 07203-1268 |
| Practice Telephone | 9732893614 |
| Mailing Telephone | 9732893614 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | MERCY A GBORSON (MANAGING MEMBER) |
| Authorized Official Telephone | 9732893614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
136 W 3RD AVE APT 13 |
| City | ROSELLE |
| State | NJ |
| Zip Code | 07203-1268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392460 | Agnieszka Malgorzata Hass | Nurse Practitioner | 776 E Thrid Avenue, Roselle, NJ 07203 | 2019-08-22 |
| 1386121812 | Community Access Unlimited Inc | Community/Behavioral Health | 513 E 1st Ave Fl 2, Roselle, NJ 07203 | 2018-07-27 |
| 1952820193 | Bold Community Care Services | Day Training, Developmentally Disabled Services | 224 Cherry Street, Roselle, NJ 07203 | 2017-09-19 |
| 1437672490 | Occupational Center of Union County, Inc | Day Training, Developmentally Disabled Services | 287 Cox Street, Roselle, NJ 07203 | 2017-07-21 |
| 1194259762 | Heart Matters, LLC | Counselor | 500 1-2 East First Avenue, Unit 1 Right, Roselle, NJ 07203 | 2017-04-20 |
| 1366827388 | Community Access Unlimited Inc | Community/Behavioral Health | 307-311 West 1st Ave, Roselle, NJ 07203 | 2015-07-21 |
| 1528440815 | Community Access Unlimited, Inc. | Community/Behavioral Health | 223-227 Cristiani St, Roselle, NJ 07203 | 2015-06-23 |
| 1437461159 | Totalifecare | Home Health | 82 Cedar Ln 176, Roselle, NJ 07203 | 2010-07-10 |
| 1811220213 | Rj Dental, LLC | Dentist | 121 - 125 Chestnut St., Ste. 201, Roselle, NJ 07203 | 2009-09-16 |
| 1740425610 | Stepcon Group LLC | Home Health | 238 Aurore Street, Roselle, NJ 07203 | 2008-12-08 |
| Find all providers in zip 07203 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285254516 | Solution 1 Home Care LLC | Home Health | 108 Chestnut St Ste 204a, Roselle, NJ 07203-2583 | 2020-04-16 |
| 1437461159 | Totalifecare | Home Health | 82 Cedar Ln 176, Roselle, NJ 07203 | 2010-07-10 |
| 1447480751 | Excellent Care Health Services Inc | Home Health | 400 Lake St Ste 306, Roselle, IL 60172-3573 | 2009-07-21 |
| 1740425610 | Stepcon Group LLC | Home Health | 238 Aurore Street, Roselle, NJ 07203 | 2008-12-08 |
| 1306094487 | P3 Enterprises, LLC Dba Home Helpers | Home Health | 258 W 5th Ave, Roselle, NJ 07203-1140 | 2008-09-03 |
| 1811192230 | Jc Home Healthcare, Inc | Home Health | 18 Lockwood Dr, # 47, Roselle, NJ 07203-3065 | 2007-06-16 |
| 1629121306 | Wanda Best Health Care, Inc | Home Health | 108 Chestnut St, Suite 201, Roselle, NJ 07203-2583 | 2007-01-18 |
| 1902959505 | Wanda Best Health Care Inc | Home Health | 108 Chestnut St, Suite 201, Roselle, NJ 07203-2583 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538236 | Heritage Health & Home Care LLC | Home Health | 419 Northfield Ave Ste 1, West Orange, NJ 07052-3091 | 2020-11-05 |
| 1720689177 | Vineyard Home Care LLC | Home Health | 793 Norgate Dr, Ridgewood, NJ 07450-2115 | 2020-11-03 |
| 1225637549 | Emmanuelfavor LLC | Home Health | 8 Gregory Ct, Edison, NJ 08820-2435 | 2020-10-19 |
| 1184222713 | Promise Health Care Nursing Service Nj Inc | Home Health | 12 Northfield Ct, Hazlet, NJ 07730-1259 | 2020-10-15 |
| 1427655257 | The Speech Paradigm LLC | Home Health | 4104 Ravens Crest Dr, Plainsboro, NJ 08536-2421 | 2020-10-05 |
| 1548867690 | Eloisa Oquendo | Home Health | 1118 Berkley Rd, Gibbstown, NJ 08027-1608 | 2020-10-01 |
| 1396352423 | Professional Healthcare Staffing | Home Health | 591 Mantua Blvd Ste 201, Sewell, NJ 08080-1032 | 2020-09-23 |
| 1528673720 | Zooz Wellness L.L.C. | Home Health | 12 Briarcliff Ct, Maplewood, NJ 07040-1401 | 2020-09-14 |
| 1437764636 | Jaymar Homecare Dba Synergy Homecare | Home Health | 33 Third St Ste 201, Bordentown, NJ 08505-1369 | 2020-09-14 |
| 1164037859 | Jj Homecare LLC | Home Health | 4 Rhoda Ter, Roselle Park, NJ 07204-2165 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.