Organization Active NPI

Authentic Care

  • Home Health Aide
  • West New York, NJ
National Provider Identifier
1154055879
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
AUTHENTIC CARE
Practice address
6135 Bergenline Ave Ste 4
West New York, NJ 07093-1562
Phone
(609) 807-2293
NPI assigned
Jul 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Yoel Cuba PachecoNPI 1952974263
Title
Owner
Phone
(609) 857-2296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

6135 Bergenline Ave Ste 4
West New York, NJ 07093-1562

Mailing address

6135 Bergenline Ave Ste 4
West New York, NJ 07093-1562
Phone (609) 807-2293

National Provider Directory

National Provider Directory

Locations

6135 Bergenline Ave
Ste 4
West New York, NJ 07093
Phone (609) 807-2293

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": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1154055879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 BERGENLINE AVE STE 4",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931562",
            "telephone_number": "609-807-2293",
            "fax_number": "609-857-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 BERGENLINE AVE STE 4",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931562",
            "telephone_number": "609-807-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "CUBA PACHECO",
        "authorized_official_first_name": "YOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-857-2296"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.