Organization Active NPI

Life Quality Home Healthcare Inc

  • Home Health Aide
  • Morganville,, NJ
National Provider Identifier
1154002301
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
LIFE QUALITY HOME HEALTHCARE INC
Practice address
50 Highway 9 N.
Suite 208
Morganville,, NJ 07751
Phone
(646) 785-4444
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Jason Gavrilov
Title
Cfo, Executive
Phone
(646) 785-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

50 Highway 9 N.
Suite 208
Morganville,, NJ 07751

Mailing address

155 Bay 28TH St Apt 3B
Brooklyn, NY 11214-5088
Phone (718) 808-3006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1154002301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BAY 28TH ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145088",
            "telephone_number": "718-808-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HIGHWAY 9 N.",
            "address_2": "SUITE 208",
            "city": "MORGANVILLE,",
            "state": "NJ",
            "postal_code": "07751",
            "telephone_number": "646-785-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUALITY HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-16",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "GAVRILOV",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO, EXECUTIVE",
        "authorized_official_telephone_number": "646-785-4444"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville,, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.