Organization Active NPI

Golden Haven Care Services LLC

  • In Home Supportive Care Agency
  • East Orange, NJ
National Provider Identifier
1174413249
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN HAVEN CARE SERVICES LLC
Practice address
107 New St Apt 304
East Orange, NJ 07017-4146
Phone
(973) 704-4414
NPI assigned
Jul 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Taniel Viola Moore
Title
Administrator/Owner
Phone
(973) 704-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

107 New St Apt 304
East Orange, NJ 07017-4146

Mailing address

107 New St Apt 304
East Orange, NJ 07017-4146
Phone (973) 704-4414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1174413249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NEW ST APT 304",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174146",
            "telephone_number": "973-704-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEW ST APT 304",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174146",
            "telephone_number": "973-704-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HAVEN CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TANIEL",
        "authorized_official_middle_name": "VIOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "973-704-4414"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.