Promise Health Care Nursing Service NJ Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROMISE HEALTH CARE NURSING SERVICE NJ INC

Practice address

12 Northfield CT
Hazlet, NJ 07730-1259

Phone

(732) 888-1012

Fax

(732) 553-3000

NPI assigned

Oct 15, 2020

Organization subpart

No

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

Authorized official

Name

Kehinde Brenda Olatubosun, RN, BSN

Title

Owner

Phone

(732) 888-1012

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Brenda Ola, LPN

  • Licensed Practical Nurse
  • Burlington, NJ
  • NPI 1508071424
  NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1184222713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NORTHFIELD CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301259",
            "telephone_number": "732-888-1012",
            "fax_number": "732-553-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NORTHFIELD CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301259",
            "telephone_number": "732-888-1012",
            "fax_number": "732-553-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HEALTH CARE NURSING SERVICE NJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "OLATUBOSUN",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_middle_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-888-1012",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 Northfield Ct",
            "city": "Hazlet",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077301259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.