Health Guard Adhc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

908115 Issued in NJ

Legal business name

HEALTH GUARD ADHC

Practice address

545 E 1St Ave
Roselle, NJ 07203-1571

Phone

(908) 298-8588

Fax

(908) 298-8511

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Frida Vaysman

Title

Partner

Phone

(908) 298-8588

Specialties & licenses 1

Addresses

Other names 1

• Circle of Friends Inc Other name

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053437434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E 1ST AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031571",
            "telephone_number": "908-298-8588",
            "fax_number": "908-298-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E 1ST AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031571",
            "telephone_number": "908-298-8588",
            "fax_number": "908-298-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH GUARD ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAYSMAN",
        "authorized_official_first_name": "FRIDA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-298-8588",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NJ",
            "license": "908115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle of Friends Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Care Home Facility in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Adult Care Home Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.