Mom and Pap'S Home Care Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0256500 Issued in NJ

Legal business name

MOM AND PAP'S HOME CARE AGENCY, LLC

Doing business as

Mom and Pap's Home Care

Practice address

50 E Palisade Ave
2ND Floor Suite 206
Englewood, NJ 07631-2933

Phone

(201) 567-3181

Fax

(201) 567-1122

NPI assigned

Apr 27, 2017

Organization subpart

Yes

Parent organization

MOM AND PAP'S HOME CARE AGENCY, LLCAs reported in NPPES

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

Authorized official

Name

Ena E Forbes, PRESIDENT

Title

Ceo

Phone

(201) 567-3181

Specialties & licenses 2

Addresses

Other names 1

• Mom and Pap's Home Care Doing business as

Part of

Mom and Pap'S Home Care Agency LLC

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1083149975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E PALISADE AVE",
            "address_2": "2ND FLOOR SUITE 206",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312933",
            "telephone_number": "201-567-3181",
            "fax_number": "201-567-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E PALISADE AVE",
            "address_2": "2ND FLOOR SUITE 206",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312933",
            "telephone_number": "201-567-3181",
            "fax_number": "201-567-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOM AND PAP'S HOME CARE AGENCY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOM AND PAP'S HOME CARE AGENCY, LLC",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "ENA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-567-3181",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0256500",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NJ",
            "license": "HP0256500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mom and Pap's Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lopa M Modi, MD
• Esraa Mohamed Osman Mohamed, M.D
• Inayah Malikah Mohammed, M.B.B.S
• Heather Marie Mohrman, P.A.-C
• Anson Moise, MD
• Monroe Karetzky, MD, P.a.
• Nathaniel Montag, D.O.
• Fergie-Ross Montero-Cruz, D.O
• Frank M Moore, M.D.
• Lara Mor Zilberstein, M.D.

• Home Health Agency in Englewood, NJ
• Providers in Englewood, 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 Apr 27, 2017; 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.