NPIMap

Organization Active NPI

Mariam House Inc

  • Home Health Agency
  • Mount Laurel, NJ
National Provider Identifier
1154953297
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARIAM HOUSE INC
Practice address
112 Bentley Dr
Mount Laurel, NJ 08054-4501
Phone
(856) 723-2920
NPI assigned
Feb 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Rony Tom AndrewsNPI 1609530179
Title
Owner
Phone
(856) 723-2920

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

112 Bentley Dr
Mount Laurel, NJ 08054-4501

Mailing address

112 Bentley Dr
Mount Laurel, NJ 08054-4501
Phone (856) 723-2920

Other names 1

  • Mariam Name Other name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1154953297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BENTLEY DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544501",
            "telephone_number": "856-723-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BENTLEY DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544501",
            "telephone_number": "856-723-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAM HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "RONY",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-723-2920"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mariam Name",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.