Oceanwide Services Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OCEANWIDE SERVICES CORP

Practice address

21 Grand Ave Ste 124
Palisades Park, NJ 07650-1077

Phone

(201) 402-7763

NPI assigned

Jul 19, 2019

Organization subpart

No

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

Authorized official

Name

Yunglim Kim

Title

Administrator

Phone

(201) 402-7763

Specialties & licenses 1

Addresses

Tax ID family

Oceanwide Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oceanwide Services Corp

  • Home Health Agency
  • Union City, NJ
  • NPI 1184379281
  NPD tax ID

Locations

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1144873084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE STE 124",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE STE 124",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501077",
            "telephone_number": "201-402-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANWIDE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YUNGLIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-402-7763"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.