Organization Active NPI

Life & Health Home Care Agency LLC

  • Home Health Agency
  • Perth Amboy, NJ
National Provider Identifier
1114789732
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFE & HEALTH HOME CARE AGENCY LLC
Practice address
143B Smith St
Lower Level
Perth Amboy, NJ 08861-4345
Phone
(732) 444-3244
Fax
(732) 444-3114
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Igor Fooks
Title
Administrator
Phone
(732) 688-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

143B Smith St
Lower Level
Perth Amboy, NJ 08861-4345

Mailing address

143 B Smith St
Lower Level
Perth Amboy, NJ 08861
Phone (732) 444-3244

National Provider Directory

National Provider Directory

Locations

143 Smith St
Lowr
Perth Amboy, NJ 08861
Phone (732) 444-3244

412 Smith St
Lowr
Perth Amboy, NJ 08861

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1114789732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 B SMITH ST",
            "address_2": "LOWER LEVEL",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-444-3244",
            "fax_number": "732-444-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143B SMITH ST",
            "address_2": "LOWER LEVEL",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614345",
            "telephone_number": "732-444-3244",
            "fax_number": "732-444-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE & HEALTH HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "FOOKS",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-688-8288"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.