IMPERIAL SUPPORT COORDINATION NPI 1235861451

NPI Information

  • NPI: 1235861451
  • Provider Name: IMPERIAL SUPPORT COORDINATION
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 183 JOHNSTON DR
    WATCHUNG, NJ
    ZIP 07069
  • Phone: (347) 595-3597

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NPI Details

IMPERIAL SUPPORT COORDINATION is an in home supportive care in Watchung, NJ. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. IMPERIAL SUPPORT COORDINATION NPI is 1235861451. The provider is registered as an organization entity type.

The provider's business location address is:

183 JOHNSTON DR
WATCHUNG, NJ
ZIP 07069-927
Phone: (347) 595-3597

The provider's authorized official is Raphael Kukubor .
The authorized official title is President and has the following contact phone number (347) 595-3597.

The enumeration date for this NPI number is 6/27/2022 and was last updated on 6/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareYes

What is NPI?

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This page was last updated on: 11/21/2025

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