Active NPI
KNM Home Health Care Agency, LLC
- Home Health Agency
- Lumberton, NJ
National Provider Identifier
1033383377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HP0068700
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0685100 | Other | NJ | JACC/CAP/GO |
National Provider Directory
National Provider DirectoryNPI 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.