Organization Active NPI

SSP Home Healthcare LLC

  • Home Health Agency
  • Livingston, NJ
National Provider Identifier
1164280350
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SSP HOME HEALTHCARE LLC
Practice address
197 Hillside Ave
Livingston, NJ 07039-3648
Phone
(646) 633-1525
NPI assigned
Mar 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Dr. Iyen Stacey Ighodaro, DNP, APRN, FNP-CNPI 1730895558
Title
Owner
Phone
(646) 633-1525

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

197 Hillside Ave
Livingston, NJ 07039-3648

Mailing address

197 Hillside Ave
Livingston, NJ 07039-3648
Phone (646) 633-1525

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": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1164280350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 HILLSIDE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393648",
            "telephone_number": "646-633-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 HILLSIDE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393648",
            "telephone_number": "646-633-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSP HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "IGHODARO",
        "authorized_official_first_name": "IYEN",
        "authorized_official_middle_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-633-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.