NPIMap

Organization Active NPI

Promise Care of Hudson County LLC

Doing business as Promise Care NJ

  • Home Health Agency
  • West New York, NJ
National Provider Identifier
1194206516
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROMISE CARE OF HUDSON COUNTY LLC
Doing business as
Promise Care NJ
Practice address
4914 Kennedy Blvd W Ste 203
West New York, NJ 07093-5592
Phone
(201) 418-6800
NPI assigned
Aug 23, 2018
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PROMISE CARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Moshe Rosenberg
Title
Owner
Phone
(201) 418-6800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

4914 Kennedy Blvd W Ste 203
West New York, NJ 07093-5592

Mailing address

576 Central Ave Ste 301
East Orange, NJ 07018-1943
Phone (973) 678-5500

Other names 1

  • Promise Care NJ Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190109000602 NJ Part A Provider - Home Health Agency 0143566331 Practice locations: West New York, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194206516. Details of each certification follow.

Home health agency certification: CCN 317064

Legal name
PROMISE CARE OF HUDSON COUNTY LLC
Doing business as
PROMISE CARE NJ
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 8, 1981
Last certification
Nov 28, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 4, 2017 in NJ
Enrollment address
4914 Kennedy Blvd W
Ste 203
West New York, NJ 07093-5592
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Promise Care NJCCN 317064 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 8, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1036569Promise Care of Hudson County4914 Kennedy Blvd W, West New York, NJ 07093Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory

Locations

4914 Kennedy Blvd W
Ste 203
West New York, NJ 07093
Phone (201) 418-6800

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Benjamin Mandel Individual Corporate OfficerCfo May 31, 2023
W-2 Managing EmployeeCfo May 31, 2023
Moshe Rosenberg Individual 5% Or Greater Indirect Ownership InterestCeo Jun 14, 2018 50%
Corporate OfficerCeo Jun 14, 2018 100%
Operational/Managerial ControlCeo Jun 14, 2018 100%
Tamar Jaskiel Individual Corporate DirectorIntegrator May 31, 2023
W-2 Managing EmployeeIntegrator May 31, 2023
Promise Care Holdings LLC Organization, East Orange, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jun 14, 2018 100%
Shalom Stein Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jun 14, 2018 50%

Practitioners & affiliated clinicians

Affiliated clinicians 61

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1194206516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CENTRAL AVE STE 301",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181943",
            "telephone_number": "973-678-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 KENNEDY BLVD W STE 203",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935592",
            "telephone_number": "201-418-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE CARE OF HUDSON COUNTY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISE CARE HOLDINGS LLC",
        "enumeration_date": "2018-08-23",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-418-6800"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise Care NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.