NPIMap

Organization Active NPI

Goddard Home Health Care

  • Home Health Agency
  • Burlington, NJ
National Provider Identifier
1053907097
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GODDARD HOME HEALTH CARE
Practice address
4 Quincy Manor LN
Burlington, NJ 08016-5116
Phone
(609) 610-0542
Fax
(609) 222-4307
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Jacqueline Massaquoi
Title
Director
Phone
(609) 610-0542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4 Quincy Manor LN
Burlington, NJ 08016-5116

Mailing address

4 Quincy Manor LN
Burlington, NJ 08016-5116
Phone (609) 610-0542

National Provider Directory

National Provider Directory
Tax ID family
Goddard Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1053907097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 QUINCY MANOR LN",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080165116",
            "telephone_number": "609-610-0542",
            "fax_number": "609-222-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 QUINCY MANOR LN",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080165116",
            "telephone_number": "609-610-0542",
            "fax_number": "609-222-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDARD HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "MASSAQUOI",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-610-0542"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.