Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bedrock at Home New Jersey LLC

Organization Registered Nurse · NPI 1104525989

Bedrock at Home New Jersey LLC is a Registered Nurse in Marlton, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Holtec Dr Ste 203
Marlton, NJ 08053-3402
Phone: (856) 874-7800
Fax: (908) 955-9419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Registered Nurse Taxonomy 163W00000X
Home Health Aide Taxonomy 374U00000X
Homemaker Taxonomy 376J00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1104525989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Banar — Director Of Operations · (856) 874-7800
NPI enumeratedMarch 1, 2023
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 2, 2024
Mailing address1 Holtec Dr Ste 203, Marlton, NJ 08053-3402

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