Organization Active NPI

Canaan Homehealth Care

  • In Home Supportive Care Agency
  • Jackson, NJ
National Provider Identifier
1164088415
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CANAAN HOMEHEALTH CARE
Practice address
17 Danielle CT
Jackson, NJ 08527-2929
Phone
(973) 489-7525
NPI assigned
May 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Okey Emenuga
Title
Co-Owner
Phone
(973) 489-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

17 Danielle CT
Jackson, NJ 08527-2929

Mailing address

17 Danielle CT
Jackson, NJ 08527-2929
Phone (973) 489-7525

Other names 1

  • Residential Homes For IDD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1164088415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DANIELLE CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272929",
            "telephone_number": "973-489-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 DANIELLE CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272929",
            "telephone_number": "973-489-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAAN HOMEHEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "EMENUGA",
        "authorized_official_first_name": "OKEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-489-7525"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residential Homes For IDD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.