Interim Healthcare of Northwest NJ, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0012203 Issued in NJ

Legal business name

INTERIM HEALTHCARE OF NORTHWEST NJ, INC.

Practice address

2414 Morris Ave
Suite 106
Union, NJ 07083-5732

Phone

(973) 762-8071

Fax

(973) 762-9495

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara J Stanton

Title

Operations Manager

Phone

(908) 756-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1043371446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 DURHAM AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802504",
            "telephone_number": "908-756-1515",
            "fax_number": "908-756-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 MORRIS AVE",
            "address_2": "SUITE 106",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835732",
            "telephone_number": "973-762-8071",
            "fax_number": "973-762-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF NORTHWEST NJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "908-756-1515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0012203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8034401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.