Pat-Providence Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PAT-PROVIDENCE HOME HEALTHCARE

Practice address

47A Byrne CT
Wayne, NJ 07470-3637

Phone

(330) 696-4869

NPI assigned

Feb 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Nicanda AllalaNPI 1699624445

Title

Ceo

Phone

(330) 696-4869

Specialties & licenses 1

Addresses

Other names 1

• Provi Home Healthcare LLC Former legal business name

Tax ID family

Dba Pat-Providence Home Healthcare2 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.

• Provi Home Healthcare

  • Home Health Agency
  • Wayne, NJ
  • NPI 1669268991
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Nicanda Allala

  • Home Health Agency
  • Wayne, NJ
  • NPI 1699624445

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1093579799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47A BYRNE CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703637",
            "telephone_number": "330-696-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47A BYRNE CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703637",
            "telephone_number": "330-696-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT-PROVIDENCE HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "ALLALA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "NICANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-696-4869",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provi Home Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Passaic County Technical Institute
• Passaic Medical Group PA
• Passaic River Physicians, LLC
• Lily Passaretti
• Debbie Ann Passenti, LPC
• Arpita Patel
• Divyaben Patel
• Eva Patel, OD
• Geetika Patel, M.D.
• Harsh Ajay Patel

• All providers in Wayne, NJ
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.