Organization Active NPI

Expo Signature Home Care

  • Home Health Agency
  • North Brunswick, NJ
National Provider Identifier
1114655339
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXPO SIGNATURE HOME CARE
Practice address
1727 US Highway 130 Ste 6
North Brunswick, NJ 08902-3084
Phone
(732) 955-9575
Fax
(732) 955-9577
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Mrs. Kate Annehchile Okusanya, DNP,ANC-BC, RN
Title
Administration
Phone
(908) 304-5313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1727 US Highway 130 Ste 6
North Brunswick, NJ 08902-3084

Mailing address

1727 US Highway 130 Ste 6
North Brunswick, NJ 08902-3084
Phone (732) 955-9575

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidNJ

Other names 1

  • KATRIX LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NORTHBRUNSWICK Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1727 US Highway 130
Ste 6
North Brunswick, NJ 08902
Phone (732) 955-9575

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1114655339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 US HIGHWAY 130 STE 6",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023084",
            "telephone_number": "732-955-9575",
            "fax_number": "732-955-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 US HIGHWAY 130 STE 6",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023084",
            "telephone_number": "732-955-9575",
            "fax_number": "732-955-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPO SIGNATURE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "OKUSANYA",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "ANNEHCHILE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "908-304-5313",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP,ANC-BC, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NORTHBRUNSWICK",
            "affiliation": "N",
            "endpointDescription": "BUSINESSLOCATION",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1727 US Highway 130 Ste 6",
            "city": "North Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "089023084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KATRIX LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.