Provider Demographics
NPI:1659242188
Name:ANTOBRE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:ANTOBRE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU ANTOBRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-971-0451
Mailing Address - Street 1:307 MONTANA TRL
Mailing Address - Street 2:
Mailing Address - City:BROWNS MILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:08015-5701
Mailing Address - Country:US
Mailing Address - Phone:917-971-0451
Mailing Address - Fax:
Practice Address - Street 1:307 MONTANA TRL
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-5701
Practice Address - Country:US
Practice Address - Phone:917-971-0451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child