Avita Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVITA HOME CARE LLC

Practice address

730 Jamaica Blvd Ste 24
Toms River, NJ 08757-3758

Phone

(732) 202-6677

Fax

(732) 719-3070

NPI assigned

Sep 16, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Elena Pistorius

Title

Member

Phone

(609) 334-4450

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Andrea Homecare Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1053961664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 JAMAICA BLVD STE 24",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573758",
            "telephone_number": "732-202-6677",
            "fax_number": "732-719-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 JAMAICA BLVD STE 24",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573758",
            "telephone_number": "732-202-6677",
            "fax_number": "732-719-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Tilton Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "NJ",
            "postal_code": "082251235",
            "country_code": "US",
            "telephone_number": "908-907-3135",
            "fax_number": "732-719-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVITA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "PISTORIUS",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-334-4450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0721514",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrea Homecare Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.