NPIMap

Organization Active NPI

Prasada Center for Wellbeing

Doing business as Prasada In Home

  • Community/Behavioral Health Agency
  • Mount Arlington, NJ
National Provider Identifier
1114541273
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRASADA CENTER FOR WELLBEING
Doing business as
Prasada In Home
Practice address
181 Howard Blvd Ste L
Mt Arlington, NJ 07856-2314
Phone
(973) 685-5668
NPI assigned
Jun 4, 2020
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Katherine V Sheldon, MS, MBA
Title
Cep
Phone
(973) 685-5668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

181 Howard Blvd Ste L
Mt Arlington, NJ 07856-2314

Mailing address

112 E Shawnee TRL
Wharton, NJ 07885-2920
Phone (973) 814-0106

Other identifiers 3

IdentifierTypeStateIssuer
0532614MedicaidNJ
048998MedicaidNJ
0622621MedicaidNJ

Other names 1

  • Prasada In Home Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.prasadainhome.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Prasada Center for Wellbeing6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1114541273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E SHAWNEE TRL",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078852920",
            "telephone_number": "973-814-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 HOWARD BLVD STE L",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078562314",
            "telephone_number": "973-685-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASADA CENTER FOR WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEP",
        "authorized_official_telephone_number": "973-685-5668",
        "authorized_official_credential": "MS, MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0532614",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048998",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0622621",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.prasadainhome.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 Howard Blvd Ste L",
            "city": "MT Arlington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078562314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prasada In Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.