Amedisys Private Duty, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0182100 Issued in NJ

Legal business name

AMEDISYS PRIVATE DUTY, LLC

Doing business as

Community Care Services of Hackensack, an Amedisys & Premier Partnersh

Practice address

25 E Salem St
Hackensack, NJ 07601-7427

Phone

(201) 880-8923

NPI assigned

Dec 4, 2013

Last updated

Dec 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Turchan, MSW, MPA

Title

Coo

Phone

(914) 428-7722

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Community Care Services of Hackensack, an Amedisys & Premier Partnersh Doing business as

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1073944898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HAMILTON AVE",
            "address_2": "10TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011807",
            "telephone_number": "914-428-7722",
            "fax_number": "914-428-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E SALEM ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017427",
            "telephone_number": "201-880-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS PRIVATE DUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "TURCHAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-428-7722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, MPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0182100",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NJ",
            "license": "HP0182100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "HP0182100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Services of Hackensack, an Amedisys & Premier Partnersh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.