Active NPI
Fun Function Home Care LLC
- Home Health Agency
- Fairfield, NJ
National Provider Identifier
1104633205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Alexander Philip Franchino, PSYD
- Marjorie Claudine Francis, PA-C
- Peter William Franklin, RPH
- Freedom Care Medical Services LLC
- Full Recovery, Inc. Dba Full Recovery Wellness Center
- Sandra J Furia, M.S. CCC-SLP
- Ashley Fusella
- Aikaterina Galeos, MS, RDN, CSG
- Brianna Nicole Gallagher
- Emily Margarita Gavarny
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.