Organization Active NPI

My Home Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Maywood, NJ
National Provider Identifier
1053597096
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
IN THE PROCESS Issued in NJ
Legal business name
MY HOME ADULT DAY CARE CENTER
Practice address
37 Brook Ave
Maywood, NJ 07607-1130
Phone
(201) 291-8811
Fax
(201) 291-8833
NPI assigned
Jan 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Mr. Pradip Kabaria
Title
President
Phone
(201) 291-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X IN THE PROCESS NJ Primary

Addresses

Primary practice location

37 Brook Ave
Maywood, NJ 07607-1130

Mailing address

37 Brook Ave
Maywood, NJ 07607-1130
Phone (201) 291-8811

Other practice location 1

217 Hergesell Ave
Maywood, NJ 07607-1140
Phone (917) 744-7288

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1053597096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BROOK AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071130",
            "telephone_number": "201-291-8811",
            "fax_number": "201-291-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BROOK AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071130",
            "telephone_number": "201-291-8811",
            "fax_number": "201-291-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Hergesell Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "NJ",
            "postal_code": "076071140",
            "country_code": "US",
            "telephone_number": "917-744-7288",
            "fax_number": "201-439-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY HOME ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-20",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "KABARIA",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-291-8811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "IN THE PROCESS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.