Organization Active NPI

Archway Rehabilitation Center, LLC

  • Home Health Agency
  • East Orange, NJ
National Provider Identifier
1124435169
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0060700 Issued in NJ
Legal business name
ARCHWAY REHABILITATION CENTER, LLC
Practice address
280 S Harrison St
Suite 300
East Orange, NJ 07018-1960
Phone
(973) 676-6300
Fax
(973) 766-1761
NPI assigned
Jul 22, 2014
Organization subpart
Yes
Parent organization
DORSON HOME CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Mrs. Sonia Yvonne Scottt
Title
Owner/Executive Director
Phone
(973) 676-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0060700 NJ Primary

Addresses

Primary practice location

280 S Harrison St
Suite 300
East Orange, NJ 07018-1960

Mailing address

280 S Harrison St
Suite 300
East Orange, NJ 07018-1960
Phone (973) 676-6300

Other identifiers 1

IdentifierTypeStateIssuer
7226403MedicaidNJ

Other names 1

  • Dorson Home care, Inc. Former legal business name

National Provider Directory

National Provider Directory
Part of
Dorson Home Care Inc

Locations

280 S Harrison St
Ste 300
East Orange, NJ 07018
Phone (973) 676-6300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1124435169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S HARRISON ST",
            "address_2": "SUITE 300",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181960",
            "telephone_number": "973-676-6300",
            "fax_number": "973-766-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S HARRISON ST",
            "address_2": "SUITE 300",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181960",
            "telephone_number": "973-676-6300",
            "fax_number": "973-766-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DORSON HOME CARE, INC.",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "SCOTTT",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-676-6300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0060700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7226403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorson Home care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.