Active NPI
Icare Home Healthcare Services LLC
- Home Health Agency
- Somers Point, NJ
National Provider Identifier
1043607211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HP0202700
- Legal business name
- ICARE HOME HEALTHCARE SERVICES LLC
- Practice address
- 408 Bethel Rd Ste B-4
Somers Point, NJ 08244-2183 - Phone
- (609) 380-2256
- Fax
- (844) 422-7373
- NPI assigned
- Apr 24, 2015
- 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
- Obioma Maryann Asiegbu RN BSN
- Title
- Clinical Director
- Phone
- (609) 380-2256
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HP0202700 | NJ | Primary |
| Nursing Care Agency | 251J00000X | |||
| PACE Provider Organization | 251T00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
408 Bethel Rd Ste B-4
Somers Point, NJ 08244-2183
Mailing address
408 Bethel Rd Ste B-4
Somers Point, NJ 08244-2183
Phone (609) 380-2256
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0523712 | Medicaid | NJ | |
| 408 | Other | NJ | PRIVATE PAY |
National Provider Directory
National Provider DirectoryLocations
76 W Jimmie Leeds Rd
Ste 502
Galloway, NJ 08205
408 Bethel Rd
Ste B-4
Somers Point, NJ 08244
Phone (609) 380-2256
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Somers Point, NJ
- NPI 1477118602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582070400000",
"number": "1043607211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 BETHEL RD STE B-4",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442183",
"telephone_number": "609-380-2256",
"fax_number": "844-422-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 BETHEL RD STE B-4",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442183",
"telephone_number": "609-380-2256",
"fax_number": "844-422-7373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE HOME HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-24",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A",
"authorized_official_last_name": "ASIEGBU RN BSN",
"authorized_official_first_name": "OBIOMA",
"authorized_official_middle_name": "MARYANN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "609-380-2256"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "HP0202700",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0523712",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PAY",
"identifier": "408",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.