Organization Active NPI

Fun Function Home Care LLC

  • Home Health Agency
  • Fairfield, NJ
National Provider Identifier
1104633205
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FUN FUNCTION HOME CARE LLC
Practice address
165 Passaic Ave Ste 205
Fairfield, NJ 07004-3526
Phone
(929) 722-1297
NPI assigned
Dec 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Sabrina Soto
Title
Owner
Phone
(929) 722-1297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

165 Passaic Ave Ste 205
Fairfield, NJ 07004-3526

Mailing address

165 Passaic Ave Ste 205
Fairfield, NJ 07004-3526

National Provider Directory

National Provider Directory

Locations

165 Passaic Ave
Ste 205
Fairfield, NJ 07004
Phone (201) 250-1858

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1104633205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PASSAIC AVE STE 205",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PASSAIC AVE STE 205",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043526",
            "telephone_number": "929-722-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUN FUNCTION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-722-1297"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.