Organization Active NPI

KNM Home Health Care Agency, LLC

  • Home Health Agency
  • Lumberton, NJ
National Provider Identifier
1033383377
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0068700 Issued in NJ
Legal business name
KNM HOME HEALTH CARE AGENCY, LLC
Practice address
14 Cottonwood Dr
Lumberton, NJ 08048-5240
Phone
(609) 265-1000
Fax
(609) 265-9976
NPI assigned
Apr 17, 2008
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Alisa L Oglesby
Title
Vice President
Phone
(609) 265-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0068700 NJ Primary

Addresses

Primary practice location

14 Cottonwood Dr
Lumberton, NJ 08048-5240

Mailing address

PO Box 484
Lumberton, NJ 08048-0484
Phone (609) 265-1000

Other identifiers 1

IdentifierTypeStateIssuer
0685100OtherNJJACC/CAP/GO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1033383377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080480484",
            "telephone_number": "609-265-1000",
            "fax_number": "609-265-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COTTONWOOD DR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485240",
            "telephone_number": "609-265-1000",
            "fax_number": "609-265-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNM HOME HEALTH CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "609-265-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0068700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JACC/CAP/GO",
            "identifier": "0685100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.