St Mary Home Care Inc

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

ST MARY HOME CARE INC

Practice address

141 Sutton PL
New Milford, NJ 07646-1205

Phone

(201) 679-6153

NPI assigned

Apr 26, 2020

Organization subpart

No

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

Authorized official

Name

Hani Gergis

Title

Partner

Phone

(201) 640-5954

Specialties & licenses 2

Addresses

Other names 1

• LIGHT HOUSE HOME CARE Doing business as

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1114547502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SUTTON PL",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461205",
            "telephone_number": "201-679-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SUTTON PL",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461205",
            "telephone_number": "201-679-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-26",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "GERGIS",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-640-5954"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIGHT HOUSE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIGHT HOUSE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Sedor, DDS
• Bincy Shijo, APN
• Mohamed Soliman, DC
• Vianca Soriano
• Shani Spirn
• Arleen Stern, RPH
• Chaya Stone, FNP
• Structural Chiropractic
• Deedee Desiree Te, OTR L
• Angela Teixeira, DNP, FNP-BC

• Home Health Aide in New Milford, NJ
• Providers in New Milford, NJ by specialty
• Home Health Aide in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.